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Individual

JEFFREY FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
23801 E APPLEWAY AVE STE 260, LIBERTY LAKE, WA 99019-9687
(509) 755-3333
Mailing address
23801 E APPLEWAY AVE STE 260, LIBERTY LAKE, WA 99019-9687
(509) 755-3333

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
P5086
ID
183500000X
Pharmacist
Primary
PH60219665
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P5086
PHARMACIST LICENSE
ID
01
PH60219665
PHARMACIST LICENSE
WA
Enumeration date
08/25/2017
Last updated
07/21/2022
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