Provider Demographics
NPI:1285982702
Name:FOSTER, BRENDA KAY (PHARMD, MS)
Entity type:Individual
Prefix:DR
First Name:BRENDA
Middle Name:KAY
Last Name:FOSTER
Suffix:
Gender:F
Credentials:PHARMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LAJES FIELD 65 MDG/SDSG
Mailing Address - Street 2:UNIT 7745
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09720-7745
Mailing Address - Country:US
Mailing Address - Phone:01135129-557-1118
Mailing Address - Fax:
Practice Address - Street 1:LAJES FIELD 65 MDG/SDSG
Practice Address - Street 2:UNIT 7745
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09720-7745
Practice Address - Country:US
Practice Address - Phone:01135129-557-1118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-15
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD08747183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist