Provider Demographics
NPI:1346385523
Name:FOSTER DRUG CO., INC.
Entity Type:Organization
Organization Name:FOSTER DRUG CO., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SEC. TREAS.
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARPENTER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:334-335-6553
Mailing Address - Street 1:1554 S FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:LUVERNE
Mailing Address - State:AL
Mailing Address - Zip Code:36049-7332
Mailing Address - Country:US
Mailing Address - Phone:334-335-6553
Mailing Address - Fax:334-335-6554
Practice Address - Street 1:1554 S FOREST AVE
Practice Address - Street 2:
Practice Address - City:LUVERNE
Practice Address - State:AL
Practice Address - Zip Code:36049-7332
Practice Address - Country:US
Practice Address - Phone:334-335-6553
Practice Address - Fax:334-335-6554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL104090333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1140010002Medicare NSC