Healthcare Provider Details

I. General information

NPI: 1205815776
Provider Name (Legal Business Name): SNI HIGH TECHNOLOGIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 BUSINESS CENTER DR SUITE 100
HORSHAM PA
19044-3456
US

IV. Provider business mailing address

700 BUSINESS CENTER DR SUITE 100
HORSHAM PA
19044-3456
US

V. Phone/Fax

Practice location:
  • Phone: 267-532-1610
  • Fax: 215-773-8054
Mailing address:
  • Phone: 267-532-1610
  • Fax: 215-773-8054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StatePA

VIII. Authorized Official

Name: MRS. SUSAN BARRILA
Title or Position: FINANCE MANAGER
Credential:
Phone: 267-532-1610