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General NPI Number Information
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NPI Number | 1053466078
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Entity Type | Organization
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Legal Business Name | SNYDER PHARMACY INC
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 05/14/2008
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Provider Practice Location Address
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Address Line | 4536 MAIN STREET
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City | SNYDER
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State | NY
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Zip | 14226-3828
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Country | US
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Telephone | 716-839-3050
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Fax | 716-839-1140
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Provider Business Mailing Address
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Address Line | 4536 MAIN STREET
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City | SNYDER
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State | NY
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Zip | 14226-3828
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Country | US
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Telephone | 716-839-3050
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Fax | 716-839-1140
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | MR. MARTIN LEO QUINN IV
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Credential |
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Telephone | 716-839-3050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 008050
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License Number State | NY
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