Provider Demographics
NPI:1447565197
Name:SNEDDON, AMY
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:
Last Name:SNEDDON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 MOUNTAIN AVE
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-2408
Mailing Address - Country:US
Mailing Address - Phone:908-852-2223
Mailing Address - Fax:908-813-3953
Practice Address - Street 1:203 MOUNTAIN AVE
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-2408
Practice Address - Country:US
Practice Address - Phone:908-852-2223
Practice Address - Fax:908-813-3953
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-18
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02345900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist