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Organization
BESPOKE PHARMACEUTICAL
Active
Organization
BESPOKE PHARMACEUTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC SPARKS PHARMD (CHIEF PHARMACIST)
(702) 427-0707
Entity
Organization
Contact information
Practice address
5795 N HOLLYWOOD BLVD, LAS VEGAS, NV 89115-1833
(725) 529-3523
Mailing address
5795 N HOLLYWOOD BLVD, LAS VEGAS, NV 89115-1833
(725) 529-3523
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/15/2025
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