Healthcare Provider Details

I. General information

NPI: 1205083581
Provider Name (Legal Business Name): MEREDITH S SNYDER PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2008
Last Update Date: 08/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 EVANS RIDGE DR
ATLANTA GA
30341-5850
US

IV. Provider business mailing address

3525 EVANS RIDGE DR
ATLANTA GA
30341-5850
US

V. Phone/Fax

Practice location:
  • Phone: 770-842-2686
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number024303
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: