Healthcare Provider Details

I. General information

NPI: 1689257867
Provider Name (Legal Business Name): MARGARET CLAIRE SNYDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2021
Last Update Date: 05/04/2021
Certification Date: 05/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22217 TOWNSHIP ROAD 162
COSHOCTON OH
43812-9427
US

IV. Provider business mailing address

22217 TOWNSHIP ROAD 162
COSHOCTON OH
43812-9427
US

V. Phone/Fax

Practice location:
  • Phone: 740-294-5872
  • Fax: 740-622-1787
Mailing address:
  • Phone: 740-294-5872
  • Fax: 740-622-1787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number09201991
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: