Provider Demographics
NPI:1871844241
Name:SNODGRASS, BRITTANY RAE (PHARMD)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:RAE
Last Name:SNODGRASS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1514 HAWTHORN DR
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662-2323
Mailing Address - Country:US
Mailing Address - Phone:740-357-0918
Mailing Address - Fax:
Practice Address - Street 1:2501 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:PT PLEASANT
Practice Address - State:WV
Practice Address - Zip Code:25550-2035
Practice Address - Country:US
Practice Address - Phone:304-675-2303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-26
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0007868183500000X
OH03131932183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist