Provider Demographics
NPI:1487319570
Name:SNEAD, MARY KATE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:KATE
Last Name:SNEAD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 ENTERPRISE WAY SE STE 105
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-9220
Mailing Address - Country:US
Mailing Address - Phone:770-635-3301
Mailing Address - Fax:
Practice Address - Street 1:1750 ENTERPRISE WAY SE STE 105
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-9220
Practice Address - Country:US
Practice Address - Phone:770-635-3301
Practice Address - Fax:770-635-3302
Is Sole Proprietor?:No
Enumeration Date:2021-11-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH0297451835G0303X
GARPH0297481835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric