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General NPI Number Information
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NPI Number | 1205944386
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Entity Type | Organization
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Legal Business Name | SNYDERS PHARMACY
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 122 GRANT STREET
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City | NILES
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State | MI
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Zip | 49120
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Country | US
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Telephone | 269-684-3400
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Fax | 269-684-1221
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Provider Business Mailing Address
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Address Line | 122 GRANT STREET
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City | NILES
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State | MI
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Zip | 49120
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Country | US
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Telephone | 269-684-3400
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Fax | 269-684-1221
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Authorized Official
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Title or Position | RPH OWNER
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Name | MR. JAMES A SNYDER
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Credential | RPH
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Telephone | 269-684-3400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 5301002439
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License Number State | MI
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