Provider Demographics
NPI:1659655918
Name:SNYDER, MARGARET
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
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 1:720 SW 19TH ST
Mailing Address - Street 2:T-2727
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-2941
Mailing Address - Country:US
Mailing Address - Phone:405-378-5495
Mailing Address - Fax:405-378-5505
Practice Address - Street 1:720 SW 19TH ST
Practice Address - Street 2:T-2727
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-2941
Practice Address - Country:US
Practice Address - Phone:405-378-5495
Practice Address - Fax:405-378-5505
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-05
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK14994183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist