Healthcare Provider Details

I. General information

NPI: 1073612818
Provider Name (Legal Business Name): MARGARET MARY SNYDER RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 BLACK HORSE HILL ROAD
COATESVILLE PA
19320-4260
US

IV. Provider business mailing address

345 TASHA LN
COATESVILLE PA
19320-4260
US

V. Phone/Fax

Practice location:
  • Phone: 610-383-0282
  • Fax:
Mailing address:
  • Phone: 610-380-8570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP031868L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: