Individual
GLENN S FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
943 HUALAPAI WAY, PEACH SPRINGS, AZ 86434
(928) 769-2993
(928) 769-1336
Mailing address
943 HUALAPAI WAY, PEACH SPRINGS, AZ 86434
(928) 769-2993
(928) 769-1336
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S018363
AZ
Other
Enumeration date
11/09/2011
Last updated
10/08/2020
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