Individual
KAYLA SPARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2400 VELP AVE, HOWARD, WI 54303-6534
(920) 434-3954
Mailing address
32 FIESTA CT, APPLETON, WI 54911-8442
(319) 538-4949
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20030
WI
183500000X
Pharmacist
5302411582
MI
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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