MEDICARE: DR. FRANK STEPHEN SNYDER DPH.

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	C004134	TN

General Provider Information

NPI Number	:	1265423305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK STEPHEN SNYDER DPH.

Provider Business Mailing Address
First Line	:	1114 SABLE RD
Second Line	:
City	:	SPRING CITY
State	:	TN
Zip	:	37381-4822
Country	:	US
Telephone Number	:	423-365-7502
Fax Number	:

Provider Business Practice Location Address
First Line	:	141 E CLINTON AVE
Second Line	:
City	:	SPRING CITY
State	:	TN
Zip	:	37381-5006
Country	:	US
Telephone Number	:	423-365-6351
Fax Number	:	423-365-4877

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

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	07/08/2007

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