Provider Demographics
NPI:1568045227
Name:SNYDER, VIRGINIA KATHERINE
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:KATHERINE
Last Name:SNYDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:332 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-5006
Mailing Address - Country:US
Mailing Address - Phone:740-382-0650
Mailing Address - Fax:740-223-7566
Practice Address - Street 1:332 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-5006
Practice Address - Country:US
Practice Address - Phone:740-382-0650
Practice Address - Fax:740-223-7566
Is Sole Proprietor?:No
Enumeration Date:2021-04-30
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH09200192183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician