Provider Demographics
NPI:1598078370
Name:FOLEY, OWEN EDWARD (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:OWEN
Middle Name:EDWARD
Last Name:FOLEY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 DORSET ST
Mailing Address - Street 2:APT D
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-6350
Mailing Address - Country:US
Mailing Address - Phone:518-866-1252
Mailing Address - Fax:
Practice Address - Street 1:514 FARRELL ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-6907
Practice Address - Country:US
Practice Address - Phone:802-651-0597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-21
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054621183500000X
VT033.0068302183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist