Provider Demographics
NPI:1578318531
Name:FOSHEE PHARMACY INC.
Entity Type:Organization
Organization Name:FOSHEE PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSHEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-845-1413
Mailing Address - Street 1:PO BOX 331
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:71852-0331
Mailing Address - Country:US
Mailing Address - Phone:870-845-1413
Mailing Address - Fax:870-845-2304
Practice Address - Street 1:1310 S 4TH ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:AR
Practice Address - Zip Code:71852-3007
Practice Address - Country:US
Practice Address - Phone:870-845-1413
Practice Address - Fax:870-845-2304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy