Provider Demographics
NPI:1326320482
Name:SNIPPER, LORI SUE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:SUE
Last Name:SNIPPER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504 SILVER OAKS ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-1457
Mailing Address - Country:US
Mailing Address - Phone:702-595-9470
Mailing Address - Fax:702-363-7604
Practice Address - Street 1:8633 W CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-5406
Practice Address - Country:US
Practice Address - Phone:702-383-9660
Practice Address - Fax:702-383-9675
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10146183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist