MEDICARE: DR. MICHELE D SNIDER PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	29709	CA

General Provider Information

NPI Number	:	1164403176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELE D SNIDER PHARM.D.

Provider Business Mailing Address
First Line	:	4476 SHEEPBERRY CT
Second Line	:
City	:	CONCORD
State	:	CA
Zip	:	94521
Country	:	US
Telephone Number	:	925-676-3277
Fax Number	:	925-827-9732

Provider Business Practice Location Address
First Line	:	4476 SHEEPBERRY COURT
Second Line	:
City	:	CONCORD
State	:	CA
Zip	:	94521
Country	:	US
Telephone Number	:	925-676-3277
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	03/27/2019

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