Provider Demographics
NPI:1790055002
Name:FOSTER, DEAN ARTHUR
Entity Type:Individual
Prefix:
First Name:DEAN
Middle Name:ARTHUR
Last Name:FOSTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2235 PARR DR
Mailing Address - Street 2:
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32162-5381
Mailing Address - Country:US
Mailing Address - Phone:352-391-9457
Mailing Address - Fax:352-391-9464
Practice Address - Street 1:2235 PARR DR
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162-5381
Practice Address - Country:US
Practice Address - Phone:352-391-9457
Practice Address - Fax:352-391-9464
Is Sole Proprietor?:No
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS23961183500000X
MAPH16054183500000X
NHR0990183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist