Ashton Blake Sparks
NPI #1821601592 in Verdunville, West Virginia
Provider Information
- NPI Number
- 1821601592
- Entity Type
- Individual
- Name
- Ashton Blake Sparks
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacy
- Enumeration Date
- Aug 24, 2020
- Last Updated
- Dec 2, 2024
Practice Location
- Address
- PO BOX 358
- City
- Verdunville
- State
- West Virginia
- ZIP Code
- 25649-0358
- Phone
- (304) 928-1914
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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