Shelly M Foster IV

NPI #1205980331 in Ogema, Minnesota

Provider Information

NPI Number: 1205980331
Entity Type: Individual
Name: Shelly M Foster IV
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jan 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 40520 COUNTY HIGHWAY 34
City: Ogema
State: Minnesota
ZIP Code: 56569-9612
Phone: (218) 983-6375

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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