Individual
MR. BRIAN DERRICK SNEED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
919 PULASKI ST, LINCOLN, IL 62656-3133
(217) 737-3204
Mailing address
919 PULASKI ST, LINCOLN, IL 62656-3133
(217) 737-3204
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-037983
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051-037983
STATE OF IL
IL
Enumeration date
08/04/2018
Last updated
08/04/2018
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