Provider Demographics
NPI:1326104258
Name:SNYDER, KIMBERLY KAY (PHARM D, RP)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:KAY
Last Name:SNYDER
Suffix:
Gender:F
Credentials:PHARM D, RP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6400 WINTERBERRY LANE
Mailing Address - Street 2:
Mailing Address - City:ROCA
Mailing Address - State:NE
Mailing Address - Zip Code:68430
Mailing Address - Country:US
Mailing Address - Phone:402-525-1340
Mailing Address - Fax:
Practice Address - Street 1:6400 WINTERBERRY LANE
Practice Address - Street 2:
Practice Address - City:ROCA
Practice Address - State:NE
Practice Address - Zip Code:68430
Practice Address - Country:US
Practice Address - Phone:402-525-1340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE117701835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist