NPI 1013021328

Sparks Pharmacy INC

Organisation Compounding Pharmacy Bolivar, MO

Practice location

Address: 2000 S Springfield Ave, Bolivar, MO 65613-9654
Phone: (417) 777-7455
Fax: (417) 777-7455
Mailing address: PO Box 33, Bolivar, MO 65613-0033

Authorised official

Name: Jeffrey Sparks
Title: President
Phone: (417) 777-7455

Registered specialties (2)

Compounding Pharmacy Primary

Suppliers Taxonomy 3336C0004X Licence 005482 (MO)

Other Pharmacy providers in Missouri →

Pharmacy

Suppliers Taxonomy 333600000X

Registry record

NPI: 1013021328
Entity type: Organization
NPI issued: 17 Aug 2006
Record last updated: 26 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.