Healthcare Provider Details

I. General information

NPI: 1144533845
Provider Name (Legal Business Name): ARNOLD SNYDER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2010
Last Update Date: 07/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 BLACKHORSE PK
PLEASANTVILLE NJ
08232
US

IV. Provider business mailing address

505 BLACKHORSE PIKE
PLEASANTVILLE NJ
08232-0000
US

V. Phone/Fax

Practice location:
  • Phone: 609-641-9356
  • Fax: 609-641-8933
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI01339100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: