LARRY W SPARKS

ESPANOLA, NM
NPI1538478169
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NM  3195)
Enumeration Date2010-09-30
Last Update Date2010-09-30
Business Address
Mr. LARRY W SPARKS pharmacist
1115 N RIVERSIDE DR
ESPANOLA, NM 87532-2802
Phone number: 505-753-7005
Mailing Address
Mr. LARRY W SPARKS pharmacist
1115 N RIVERSIDE DR
ESPANOLA, NM 87532-2802
Phone number: 505-875-3700