Healthcare Provider Details

I. General information

NPI: 1013239664
Provider Name (Legal Business Name): PATRICIA ANN SNIDER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2010
Last Update Date: 04/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1645 CRANIUM DR
ROCK HILL SC
29732-3509
US

IV. Provider business mailing address

4475 SUMMERLIN PL
ROCK HILL SC
29732-9509
US

V. Phone/Fax

Practice location:
  • Phone: 803-325-2792
  • Fax:
Mailing address:
  • Phone: 803-324-8107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number12796
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: