Provider Demographics
NPI:1306484449
Name:PRICE SNYDER, ARLENE PENNY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:PENNY
Last Name:PRICE SNYDER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ARLENE
Other - Middle Name:PENNY
Other - Last Name:PRICE SNYDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:9795 VIA VERGA ST
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-6163
Mailing Address - Country:US
Mailing Address - Phone:949-562-3880
Mailing Address - Fax:
Practice Address - Street 1:425 S SUNRISE WAY
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-7663
Practice Address - Country:US
Practice Address - Phone:760-322-2784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-19
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32413183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist