NPI 1003100298

Edward Spark, PHARMD

Practitioner Pharmacist Castle Rock, CO

Practice location

Address: 5010 Founders Pkwy T-1326, Castle Rock, CO 80108-7838
Phone: (303) 663-4715
Fax: (303) 663-4715

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 17544 (CO)

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Registry record

NPI: 1003100298
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jun 2011
Record last updated: 5 Jun 2011

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.