Organization
FOSTERS PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI LYNN HATFIELD (OWNER)
(740) 392-0911
Entity
Organization
Contact information
Practice address
207 W HIGH ST, MOUNT VERNON, OH 43050-2427
(740) 392-0911
(740) 392-0960
Mailing address
207 W HIGH ST, MOUNT VERNON, OH 43050-2427
(740) 392-0911
(740) 392-0960
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
42018617
OH
3336C0003X
Community/Retail Pharmacy
Primary
020179600
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0471127
—
OH
01
—
3610222
NABP
OH
Enumeration date
07/08/2005
Last updated
07/06/2022
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