Healthcare Provider Details

I. General information

NPI: 1881224889
Provider Name (Legal Business Name): ALLIE SNYDER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLIE HESSE

II. Dates (important events)

Enumeration Date: 01/19/2020
Last Update Date: 01/19/2020
Certification Date: 01/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5080 DELHI RD
CINCINNATI OH
45238-5343
US

IV. Provider business mailing address

5080 DELHI RD
CINCINNATI OH
45238-5343
US

V. Phone/Fax

Practice location:
  • Phone: 513-451-7050
  • Fax: 513-451-0172
Mailing address:
  • Phone: 513-451-7050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number018517
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03135667
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: