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NPI Code Detail

MEDICARE: JACK HENRY SNYDER PHARMACIST

MEDICARE: JACK HENRY SNYDER PHARMACIST
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
1183500000XPharmacist2556MT

General Provider Information

NPI Number : 1356494959
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACK HENRY SNYDER PHARMACIST
Provider Business Mailing Address
First Line : 304 GLENHAVEN PL
Second Line :
City : BILLINGS
State : MT
Zip : 59105
Country : US
Telephone Number : 406-252-6272
Fax Number :
Provider Business Practice Location Address
First Line : 304 GLENHAVEN DR
Second Line :
City : BILLINGS
State : MT
Zip : 59105-3502
Country : US
Telephone Number : 406-252-6272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2007
Last Update Date : 01/04/2026

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