Provider Demographics
NPI:1215077193
Name:SNIECHOSKI, ANTHONY ROBERT (RPH)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:ROBERT
Last Name:SNIECHOSKI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2614 W COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:BOOTHWYN
Mailing Address - State:PA
Mailing Address - Zip Code:19061-2220
Mailing Address - Country:US
Mailing Address - Phone:610-497-5292
Mailing Address - Fax:610-485-2459
Practice Address - Street 1:26 E 10TH ST
Practice Address - Street 2:
Practice Address - City:MARCUS HOOK
Practice Address - State:PA
Practice Address - Zip Code:19061-4515
Practice Address - Country:US
Practice Address - Phone:610-485-7750
Practice Address - Fax:610-485-2459
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP033148L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist