Provider Demographics
NPI:1346556081
Name:SNYDER, ROBERT
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:SNYDER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 SUMMIT PARK DR STE 101
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15275-1104
Mailing Address - Country:US
Mailing Address - Phone:855-726-8479
Mailing Address - Fax:855-246-3986
Practice Address - Street 1:24 SUMMIT PARK DR STE 101
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15275-1104
Practice Address - Country:US
Practice Address - Phone:855-726-8479
Practice Address - Fax:855-246-3986
Is Sole Proprietor?:No
Enumeration Date:2010-08-19
Last Update Date:2024-05-22
Deactivation Date:2024-02-26
Deactivation Code:
Reactivation Date:2024-05-21
Provider Licenses
StateLicense IDTaxonomies
PARP443613183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist