Provider Demographics
NPI:1437500089
Name:SNYDER, MICHELLE JULIEMARIE (RPH)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:JULIEMARIE
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 1:276 SUSQUEHANNA TRL
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-8571
Mailing Address - Country:US
Mailing Address - Phone:484-358-2391
Mailing Address - Fax:
Practice Address - Street 1:3036 EMRICK BLVD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-8018
Practice Address - Country:US
Practice Address - Phone:877-734-5250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-24
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP040790L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist