Healthcare Provider Details

I. General information

NPI: 1396285201
Provider Name (Legal Business Name): CAITLIN CHRISTINE SNYDER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2017
Last Update Date: 12/15/2020
Certification Date: 12/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FOGG RD
WEYMOUTH MA
02190-2455
US

IV. Provider business mailing address

241 MYRTLE ST
ROCKLAND MA
02370-1756
US

V. Phone/Fax

Practice location:
  • Phone: 781-624-8229
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP447754
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH237349
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: