Healthcare Provider Details

I. General information

NPI: 1215530464
Provider Name (Legal Business Name): BRETT SNYDERMAN PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/19/2020
Last Update Date: 11/19/2020
Certification Date: 11/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3813 MANATEE AVE W
BRADENTON FL
34205-1713
US

IV. Provider business mailing address

405 72ND ST NW
BRADENTON FL
34209-2242
US

V. Phone/Fax

Practice location:
  • Phone: 941-747-5944
  • Fax: 941-747-4927
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS50801
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: