Healthcare Provider Details

I. General information

NPI: 1326320482
Provider Name (Legal Business Name): LORI SUE SNIPPER PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2011
Last Update Date: 09/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8633 W CHARLESTON BLVD
LAS VEGAS NV
89117-5406
US

IV. Provider business mailing address

1504 SILVER OAKS ST
LAS VEGAS NV
89117-1457
US

V. Phone/Fax

Practice location:
  • Phone: 702-383-9660
  • Fax: 702-383-9675
Mailing address:
  • Phone: 702-595-9470
  • Fax: 702-363-7604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number10146
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: