Julie Renee Snyder, RPH

Individual provider Active NPI Pharmacist · Middlebury, IN

NPI 1285238352 · NPPES record last updated Nov 29, 2020

Key facts

NPI
1285238352
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
26019327A (IN)
Practice address
102 E US Highway 20
Middlebury, IN 46540-8504
Phone
(574) 825-2485
Fax
(574) 825-7839
NPI assigned
Nov 29, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
26019327AINMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hook-Superx LLC Past
since Dec 6, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26019327A IN Yes

Addresses

Primary practice location

102 E US Highway 20
Middlebury, IN 46540-8504

Mailing address

102 E US Highway 20
Middlebury, IN 46540-8504
Phone (574) 825-2485

Other providers in Middlebury, IN

All providers in Middlebury, IN · Pharmacist in Indiana

Sources for this page

Verify at the official NPI Registry.