| NPI | 1922472026 |
|---|---|
| Doing Business As | SPARKMAN PHARMACY AT WELLSTONE |
| Entity Type | Organization |
| Authorized Contact | ASHLEY WATSON Phcy Manger/AO 256-705-6499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 114561) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2019-12-09 |