Organization
FOSTER DRUG CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CARPENTER RPH (OWNER, PIC, AO)
(334) 548-2125
Entity
Organization
Contact information
Practice address
12 LAFAYETTE ST, HAYNEVILLE, AL 36040-2089
(334) 548-2125
(334) 548-2126
Mailing address
PO BOX 366, HAYNEVILLE, AL 36040-0366
(334) 548-2125
(334) 548-2126
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
104075
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009939290
—
AL
05
—
100001924
—
AL
01
—
1988742
PK
—
Enumeration date
07/09/2006
Last updated
01/19/2018
Update your record
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