Tera Sparks

NPI #1366889867 in Corbin, Kentucky

Provider Information

NPI Number: 1366889867
Entity Type: Individual
Name: Tera Sparks
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: May 24, 2013
Last Updated: May 24, 2013

Practice Location

Address: 1019 CUMBERLAND FALLS HWY
City: Corbin
State: Kentucky
ZIP Code: 40701-2735
Phone: (606) 526-0755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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