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1538478169
LARRY W SPARKS
ESPANOLA, NM
NPI
1538478169
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NM 3195)
Enumeration Date
2010-09-30
Last Update Date
2010-09-30
Business Address
Mr. LARRY W SPARKS pharmacist
1115 N RIVERSIDE DR
ESPANOLA, NM 87532-2802
Phone number: 505-753-7005
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Mailing Address
Mr. LARRY W SPARKS pharmacist
1115 N RIVERSIDE DR
ESPANOLA, NM 87532-2802
Phone number: 505-875-3700
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