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NPI Code Detail

MEDICARE: FREDRICK MARC SNYDER RPH.

MEDICARE: FREDRICK MARC SNYDER RPH.
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
1183500000XPharmacistRP029175LPA

General Provider Information

NPI Number : 1689988677
Entity Type Code : Individual
Provider Name (Legal Business Name) : FREDRICK MARC SNYDER RPH.
Provider Business Mailing Address
First Line : 402 REVERE DR
Second Line :
City : SOUTHAMPTON
State : PA
Zip : 18966-2762
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7700 CRITTENDEN ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19118-4421
Country : US
Telephone Number : 215-242-8022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2010
Last Update Date : 08/02/2010

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Directions to “ FREDRICK MARC SNYDER RPH.” Practice Location

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