Provider Demographics
NPI:1295406189
Name:SNOW, DAVID LAURENCE (RPH)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:LAURENCE
Last Name:SNOW
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3711 COUNTY SEAT LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-1683
Mailing Address - Country:US
Mailing Address - Phone:713-376-7512
Mailing Address - Fax:
Practice Address - Street 1:3711 COUNTY SEAT LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-1683
Practice Address - Country:US
Practice Address - Phone:713-376-7512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-22
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31532183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist