Provider Demographics
NPI:1588827620
Name:SNOWDEN, ISABELLE D (PHARMACIST)
Entity Type:Individual
Prefix:MRS
First Name:ISABELLE
Middle Name:D
Last Name:SNOWDEN
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:961 WINDSOR CREEK DR
Mailing Address - Street 2:
Mailing Address - City:GRAYSON
Mailing Address - State:GA
Mailing Address - Zip Code:30017-4942
Mailing Address - Country:US
Mailing Address - Phone:770-288-3747
Mailing Address - Fax:
Practice Address - Street 1:4480 ATLANTA HWY
Practice Address - Street 2:
Practice Address - City:LOGANVILLE
Practice Address - State:GA
Practice Address - Zip Code:30052-7313
Practice Address - Country:US
Practice Address - Phone:770-554-4031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH018722183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist