Provider Demographics
NPI:1386999068
Name:SNYDER, ALLISON LANG (PHARMD)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:LANG
Last Name:SNYDER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1904 DOCTOR M.L.K. JR BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28560
Mailing Address - Country:US
Mailing Address - Phone:252-672-4440
Mailing Address - Fax:
Practice Address - Street 1:1904 M L KING JR. BLVD.
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560
Practice Address - Country:US
Practice Address - Phone:252-672-4440
Practice Address - Fax:252-672-4445
Is Sole Proprietor?:No
Enumeration Date:2012-07-18
Last Update Date:2018-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0049182183500000X
NC21938183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist