Provider Demographics
NPI:1902188113
Name:SNYDER, MARY (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:SNYDER
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 CLARK ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43725-8875
Mailing Address - Country:US
Mailing Address - Phone:740-255-5844
Mailing Address - Fax:740-255-5872
Practice Address - Street 1:1300 CLARK ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43725-8875
Practice Address - Country:US
Practice Address - Phone:740-255-5844
Practice Address - Fax:740-255-5872
Is Sole Proprietor?:No
Enumeration Date:2011-09-13
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03228160183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist