Basic Information
| Provider Information | |||||||||
| NPI: | 1518023449 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FOSTER | ||||||||
| FirstName: | DANIEL | ||||||||
| MiddleName: | L | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PHARMACIST | ||||||||
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| Mailing Information | |||||||||
| Address1: | 23 AUTUMN E | ||||||||
| Address2: | |||||||||
| City: | WILLIAMSBURG | ||||||||
| State: | VA | ||||||||
| PostalCode: | 231881633 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7572582792 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | MACDONALD ARMY COMMUNITY HEALTH CENTER | ||||||||
| Address2: | BLDG 576 | ||||||||
| City: | FORT EUSTIS | ||||||||
| State: | VA | ||||||||
| PostalCode: | 236045561 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7573147900 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/28/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 0202006173 | VA | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.