Provider Demographics
NPI:1871013268
Name:SNYDER, CARALYN ILEEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CARALYN
Middle Name:ILEEN
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 1:5908 HIGHWAY 11 E
Mailing Address - Street 2:
Mailing Address - City:PINEY FLATS
Mailing Address - State:TN
Mailing Address - Zip Code:37686-4743
Mailing Address - Country:US
Mailing Address - Phone:423-538-4397
Mailing Address - Fax:423-926-9921
Practice Address - Street 1:5908 HIGHWAY 11 E
Practice Address - Street 2:
Practice Address - City:PINEY FLATS
Practice Address - State:TN
Practice Address - Zip Code:37686-4743
Practice Address - Country:US
Practice Address - Phone:423-538-4397
Practice Address - Fax:423-926-9921
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-26
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN39158183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist