Provider Demographics
NPI:1851369557
Name:SNAPP LEE INC.
Entity Type:Organization
Organization Name:SNAPP LEE INC.
Other - Org Name:WEBER CITY DRUG CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PIC
Authorized Official - Prefix:
Authorized Official - First Name:KENT
Authorized Official - Middle Name:M
Authorized Official - Last Name:SNAPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-386-3482
Mailing Address - Street 1:1482 US HIGHWAY 23 N
Mailing Address - Street 2:
Mailing Address - City:WEBER CITY
Mailing Address - State:VA
Mailing Address - Zip Code:24290-7039
Mailing Address - Country:US
Mailing Address - Phone:276-386-3482
Mailing Address - Fax:276-386-3156
Practice Address - Street 1:1482 US HIGHWAY 23 N
Practice Address - Street 2:
Practice Address - City:WEBER CITY
Practice Address - State:VA
Practice Address - Zip Code:24290-7039
Practice Address - Country:US
Practice Address - Phone:276-386-3482
Practice Address - Fax:276-386-3156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-09
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
VA02010012643336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ045640Medicaid
VA8400584Medicaid
2103045OtherPK
2103045OtherPK