Provider Demographics
NPI:1801133764
Name:SNEED, KRISTINE LYNNE (RPH)
Entity type:Individual
Prefix:MRS
First Name:KRISTINE
Middle Name:LYNNE
Last Name:SNEED
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19100 S TAMIAMI TRL
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-1011
Mailing Address - Country:US
Mailing Address - Phone:239-432-2528
Mailing Address - Fax:239-432-2533
Practice Address - Street 1:19100 S TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-1011
Practice Address - Country:US
Practice Address - Phone:239-432-2528
Practice Address - Fax:239-432-2533
Is Sole Proprietor?:No
Enumeration Date:2013-01-12
Last Update Date:2013-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS36280183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist