DR. Tracy C Sparkmam, PHARM D

NPI #1447880760 in Moline, Illinois

Provider Information

NPI Number: 1447880760
Entity Type: Individual
Name: DR. Tracy C Sparkmam, PHARM D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARM D
Enumeration Date: Jan 26, 2020
Last Updated: Sep 24, 2021

Practice Location

Address: 3930 44TH AVENUE DR STOP 1
City: Moline
State: Illinois
ZIP Code: 61265-3893
Phone: (309) 736-2275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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