MR. Larry W Sparks, PHARMACIST
NPI #1538478169 in Espanola, New Mexico
Provider Information
- NPI Number
- 1538478169
- Entity Type
- Individual
- Name
- MR. Larry W Sparks, PHARMACIST
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- PHARMACIST
- Enumeration Date
- Sep 30, 2010
- Last Updated
- Sep 30, 2010
Practice Location
- Address
- 1115 N RIVERSIDE DR
- City
- Espanola
- State
- New Mexico
- ZIP Code
- 87532-2802
- Phone
- (505) 753-7005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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