| NPI | 1982175956 |
|---|---|
| Doing Business As | SPARKMAN PHARMACY AT WELLSTONE |
| Entity Type | Organization |
| Authorized Contact | ASHLEY WATSON Pharmacy Manager 256-705-6499 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2019-12-09 |