Individual
DR. STEPHANIE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 MALL RD, LOUISVILLE, KY 40218-5403
(502) 456-1441
(502) 653-6184
Mailing address
4894 N MAIN ST, EMINENCE, KY 40019-1018
(502) 845-5027
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020077
KY
Other
Enumeration date
11/24/2020
Last updated
05/04/2025
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