Healthcare Provider Details

I. General information

NPI: 1154950475
Provider Name (Legal Business Name): MELINDA BLAIR SNYDER I PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2020
Last Update Date: 04/07/2020
Certification Date: 04/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4610 CENTRE AVE
PITTSBURGH PA
15213-1504
US

IV. Provider business mailing address

154 CENTENNIAL DR
CARNEGIE PA
15106-5506
US

V. Phone/Fax

Practice location:
  • Phone: 412-683-8827
  • Fax:
Mailing address:
  • Phone: 412-720-5388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP447121
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: