Provider Demographics
NPI:1124012463
Name:HOTARD, FOSTER ALBERT JR (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:FOSTER
Middle Name:ALBERT
Last Name:HOTARD
Suffix:JR
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:150 GREENBRIAR CT
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-2966
Mailing Address - Country:US
Mailing Address - Phone:912-925-0210
Mailing Address - Fax:
Practice Address - Street 1:TUTTLE ARMY HEALTH CLINIC PHARMACY
Practice Address - Street 2:230 DUNCAN DRIVE BLDG 1440
Practice Address - City:HAAF
Practice Address - State:GA
Practice Address - Zip Code:31408-5102
Practice Address - Country:US
Practice Address - Phone:912-692-8710
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA11701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist