Healthcare Provider Details

I. General information

NPI: 1346868916
Provider Name (Legal Business Name): DANIELLE ELIZABETH SNYDER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2020
Last Update Date: 07/10/2020
Certification Date: 07/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1913 S BROAD ST
LANSDALE PA
19446-5680
US

IV. Provider business mailing address

1913 S BROAD ST
LANSDALE PA
19446-5680
US

V. Phone/Fax

Practice location:
  • Phone: 267-421-8840
  • Fax:
Mailing address:
  • Phone: 267-421-8840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP454545
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: