Provider Demographics
NPI:1679919070
Name:SNYDER, KAREN LYNN (RPH)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LYNN
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 1:8900 MACOMB ST
Mailing Address - Street 2:
Mailing Address - City:GROSSE ILE
Mailing Address - State:MI
Mailing Address - Zip Code:48138-1577
Mailing Address - Country:US
Mailing Address - Phone:734-676-6000
Mailing Address - Fax:734-676-7076
Practice Address - Street 1:8900 MACOMB ST
Practice Address - Street 2:
Practice Address - City:GROSSE ILE
Practice Address - State:MI
Practice Address - Zip Code:48138-1577
Practice Address - Country:US
Practice Address - Phone:734-676-6000
Practice Address - Fax:734-676-7076
Is Sole Proprietor?:No
Enumeration Date:2013-05-13
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302027174183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist