Provider Demographics
NPI:1750646345
Name:SNEEDEN, DANIEL CHADBOURN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:CHADBOURN
Last Name:SNEEDEN
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 1:3195 WALNUT GROVE LN N
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55447-1021
Mailing Address - Country:US
Mailing Address - Phone:952-388-9518
Mailing Address - Fax:
Practice Address - Street 1:3195 WALNUT GROVE LN N
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55447-1021
Practice Address - Country:US
Practice Address - Phone:952-388-9518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN119060183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist