Individual
MRS. ANN RAEWYN SNODDERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
310 E CENTRAL AVE, LA FOLLETTE, TN 37766-3617
(423) 562-4928
(423) 566-4044
Mailing address
530 CLAIBORNE RD, LA FOLLETTE, TN 37766-8014
(423) 562-4928
(423) 566-4044
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33076
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3536986
—
TN
Enumeration date
08/06/2009
Last updated
08/06/2009
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