Sparta Pharmacy Llc.

NPI #1528194933 in Sparta, Wisconsin

Provider Information

NPI Number
1528194933
Entity Type
Organization
Organization Name
Sparta Pharmacy Llc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Feb 27, 2007
Last Updated
Dec 2, 2014

Practice Location

Address
201 S WATER ST
City
Sparta
ZIP Code
54656-1724
Phone
(608) 269-2949

Authorized Official

Name
TOM BRIESKE
Title
MANAGER
Phone
(608) 386-9039

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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