Provider Demographics
NPI:1043381817
Name:SNYDER, SUZANNE L (RPH)
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:L
Last Name:SNYDER
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 1:277 ARDMORE AVE
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-1108
Mailing Address - Country:US
Mailing Address - Phone:610-623-7469
Mailing Address - Fax:
Practice Address - Street 1:197 E PLUMSTEAD AVE
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:PA
Practice Address - Zip Code:19050-1221
Practice Address - Country:US
Practice Address - Phone:610-626-4941
Practice Address - Fax:610-626-4905
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP033954L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist