Provider Demographics
NPI:1346851912
Name:FOLEY, SCOTT MCLEAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:MCLEAN
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:W167N10870 CARRINGTON CIR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:WI
Mailing Address - Zip Code:53022-5584
Mailing Address - Country:US
Mailing Address - Phone:920-988-7102
Mailing Address - Fax:
Practice Address - Street 1:N168W21330 MAIN ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:WI
Practice Address - Zip Code:53037-1104
Practice Address - Country:US
Practice Address - Phone:262-677-1702
Practice Address - Fax:262-677-2524
Is Sole Proprietor?:No
Enumeration Date:2020-08-16
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03440000183500000X
TX63115183500000X
WI22391183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist