Provider Demographics
NPI:1548305402
Name:SNYDER, JANET A (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:A
Last Name:SNYDER
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 KRISTIN DR NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-3831
Mailing Address - Country:US
Mailing Address - Phone:507-292-9650
Mailing Address - Fax:
Practice Address - Street 1:500 KRISTIN DR NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-3831
Practice Address - Country:US
Practice Address - Phone:507-292-9650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN115888-3183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist