Provider Demographics
NPI:1205815909
Name:FOLTZ, GREGORY H (RPH)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:H
Last Name:FOLTZ
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:GREG
Other - Middle Name:
Other - Last Name:FOLTZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:22803 - 44TH AVE. W.
Mailing Address - Street 2:
Mailing Address - City:MOUNTLAKE TERRACE
Mailing Address - State:WA
Mailing Address - Zip Code:98043
Mailing Address - Country:US
Mailing Address - Phone:425-771-3738
Mailing Address - Fax:
Practice Address - Street 1:22803 - 44TH AVE. W.
Practice Address - Street 2:
Practice Address - City:MOUNTLAKE TERRACE
Practice Address - State:WA
Practice Address - Zip Code:98043
Practice Address - Country:US
Practice Address - Phone:425-771-3738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA09530183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist