Provider Demographics
NPI:1255944468
Name:SNIEGOWSKI, JAMES HAROLD (RPH, BS)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:HAROLD
Last Name:SNIEGOWSKI
Suffix:
Gender:M
Credentials:RPH, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1237 QUAIL RUN AVE
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60490-5403
Mailing Address - Country:US
Mailing Address - Phone:630-632-3199
Mailing Address - Fax:773-284-8186
Practice Address - Street 1:8639 S CICERO AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60652-3505
Practice Address - Country:US
Practice Address - Phone:773-284-6332
Practice Address - Fax:773-284-8186
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-27
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy