Provider Demographics
NPI:1891828661
Name:FOSTER, JOANN S (RPH)
Entity Type:Individual
Prefix:MRS
First Name:JOANN
Middle Name:S
Last Name:FOSTER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10605 ROY BUTLER DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78717-3906
Mailing Address - Country:US
Mailing Address - Phone:512-255-1756
Mailing Address - Fax:
Practice Address - Street 1:11209 METRIC BLVD BLDG H
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-4021
Practice Address - Country:US
Practice Address - Phone:512-491-1156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19165183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist