Sparks, Larry W
Sparks, Larry W is an individual health care provider with primary practice located at 1115 N Riverside Dr , Espanola NM 87532-2802. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Sparks, Larry W can be contacted via phone (505) 753-7005.Contact Information
Primary practice address
1115 N Riverside Dr
Espanola NM 87532-2802
Phone: (505) 753-7005
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 3195 | New Mexico |
Profile Details
| NPI number | 1538478169 |
|---|---|
| LBN Legal business name | Sparks, Larry W |
| Credentials | PHARMACIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2010 |
| Last updated | Sep 30th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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