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1720067242
BRUCE GROVE SPARKS
NORTH CHARLESTON, SC
NPI
1720067242
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OK 8724)
Enumeration Date
2006-01-12
Last Update Date
2007-07-08
Business Address
Mr. BRUCE GROVE SPARKS Pharmacist
3600 RIVERS AVE
NORTH CHARLESTON, SC 29405-7747
Phone number: 843-743-7295
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Mailing Address
Mr. BRUCE GROVE SPARKS Pharmacist
135 OLD COURSE RD
SUMMERVILLE, SC 29485-6217
Phone number: 843-832-2418
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