Healthcare Provider Details

I. General information

NPI: 1578192720
Provider Name (Legal Business Name): RAYMOND MICHAEL SNYDER PHARM.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2020
Last Update Date: 04/08/2020
Certification Date: 04/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6531 US-22
DELMONT PA
15626
US

IV. Provider business mailing address

234 HELLEIN SCHOOL RD
ACME PA
15610-1143
US

V. Phone/Fax

Practice location:
  • Phone: 717-881-6668
  • Fax:
Mailing address:
  • Phone: 717-881-6668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP451749
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: