MEDICARE: DR. WENDY LYNNE SNASHALL PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P2201X	Ambulatory Care Pharmacist	011163	KY

General Provider Information

NPI Number	:	1144203704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WENDY LYNNE SNASHALL PHARMD

Provider Business Mailing Address
First Line	:	112 SMOKY CT
Second Line	:
City	:	ELIZABETHTOWN
State	:	KY
Zip	:	42701-6859
Country	:	US
Telephone Number	:	270-360-8521
Fax Number	:

Provider Business Practice Location Address
First Line	:	619 W MAIN ST
Second Line	:
City	:	CLARKSON
State	:	KY
Zip	:	42726-7044
Country	:	US
Telephone Number	:	502-287-6220
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2005
Last Update Date	:	07/23/2025

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