Provider Demographics
NPI:1598041584
Name:SNYDER, JULIE N (PHARMD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:N
Last Name:SNYDER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 SE BELL DR
Mailing Address - Street 2:
Mailing Address - City:WAUKEE
Mailing Address - State:IA
Mailing Address - Zip Code:50263-8674
Mailing Address - Country:US
Mailing Address - Phone:515-447-9794
Mailing Address - Fax:
Practice Address - Street 1:1660 SE BELL DR
Practice Address - Street 2:
Practice Address - City:WAUKEE
Practice Address - State:IA
Practice Address - Zip Code:50263-8674
Practice Address - Country:US
Practice Address - Phone:515-446-9794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-23
Last Update Date:2011-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA19934183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist