Healthcare Provider Details

I. General information

NPI: 1457072753
Provider Name (Legal Business Name): MORGAN SNYDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2022
Last Update Date: 09/06/2022
Certification Date: 09/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3010 W TILGHMAN ST
ALLENTOWN PA
18104-4208
US

IV. Provider business mailing address

555 W WALNUT ST APT 208
ALLENTOWN PA
18101-2337
US

V. Phone/Fax

Practice location:
  • Phone: 610-776-6551
  • Fax:
Mailing address:
  • Phone: 610-554-0641
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP455996
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: