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NPI Code Detail

MEDICARE: DR. SPENCER SNYDER PHARMD

MEDICARE: DR. SPENCER SNYDER PHARMD
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
1183500000XPharmacist26028351AIN

General Provider Information

NPI Number : 1790389054
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SPENCER SNYDER PHARMD
Provider Business Mailing Address
First Line : 7008 BLUFFTON RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46809-2706
Country : US
Telephone Number : 260-747-4136
Fax Number : 260-747-4137
Provider Business Practice Location Address
First Line : 7008 BLUFFTON RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46809-2706
Country : US
Telephone Number : 260-747-4136
Fax Number : 260-747-4137
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2020
Last Update Date : 06/10/2026

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