Healthcare Provider Details

I. General information

NPI: 1255687943
Provider Name (Legal Business Name): MELANIE J SNYDER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2012
Last Update Date: 09/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 SW 7TH ST
TOPEKA KS
66606-2489
US

IV. Provider business mailing address

1700 SW 7TH ST
TOPEKA KS
66606-2489
US

V. Phone/Fax

Practice location:
  • Phone: 785-295-8000
  • Fax:
Mailing address:
  • Phone: 785-295-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number1-16175
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number1-16175
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: