Healthcare Provider Details

I. General information

NPI: 1851209167
Provider Name (Legal Business Name): KOLTON SNEDAKER PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

172 4TH ST SE
HURON SD
57350-2510
US

IV. Provider business mailing address

2405 PRAIRIE GREEN DR
HURON SD
57350-4423
US

V. Phone/Fax

Practice location:
  • Phone: 605-353-6200
  • Fax:
Mailing address:
  • Phone: 208-313-0787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number7367
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: