Provider Demographics
NPI:1518023449
Name:FOSTER, DANIEL L (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:L
Last Name:FOSTER
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 AUTUMN E
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-1633
Mailing Address - Country:US
Mailing Address - Phone:757-258-2792
Mailing Address - Fax:
Practice Address - Street 1:MACDONALD ARMY COMMUNITY HEALTH CENTER
Practice Address - Street 2:BLDG 576
Practice Address - City:FORT EUSTIS
Practice Address - State:VA
Practice Address - Zip Code:23604-5561
Practice Address - Country:US
Practice Address - Phone:757-314-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202006173183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist