Healthcare Provider Details

I. General information

NPI: 1366693079
Provider Name (Legal Business Name): ALISSA SNYDER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2008
Last Update Date: 02/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 M-U UNIVERSITY DRIVE - C VA PITTSBURGH HEALTHCARE SYSTEM,
PITTSBURGH PA
15240-1001
US

IV. Provider business mailing address

UNIVERSITY DRIVE-C MAIL STOP CODE 132M-U
PITTSBURGH PA
15240
US

V. Phone/Fax

Practice location:
  • Phone: 412-360-3057
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP442641
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: