Individual
MRS. JANE ANNE SNIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
18 MICHIGAN AVE W, BATTLE CREEK, MI 49017-3600
(269) 753-1440
(269) 753-1456
Mailing address
10101 BARNES RD, EATON RAPIDS, MI 48827-9235
(517) 648-2632
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302027293
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629469036
NPI PRIMARY WORK SITE
MI
01
—
2380335
NABP
MI
01
—
5301011019
PRIMARY WORK SITE STORE LICENSE
MI
01
—
5302027293
PHARMACIST LICENSE
MI
Enumeration date
05/29/2019
Last updated
05/29/2019
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