Provider Demographics
NPI:1073821401
Name:TOWNSEND, MARY SNEARY
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:SNEARY
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 ASHTON DR
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:MS
Mailing Address - Zip Code:39047-4523
Mailing Address - Country:US
Mailing Address - Phone:601-992-7372
Mailing Address - Fax:
Practice Address - Street 1:235 GEORGE WALLACE DR
Practice Address - Street 2:
Practice Address - City:PEARL
Practice Address - State:MS
Practice Address - Zip Code:39208-3524
Practice Address - Country:US
Practice Address - Phone:601-932-1660
Practice Address - Fax:601-932-1121
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-20
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-010442183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist