Individual
DR. STEPHEN SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
2875 W MARTIN LUTHER KING BLVD, WALMART PHARMACY, FAYETTEVILLE, AR 72704-7625
(479) 521-4350
Mailing address
2875 W MARTIN LUTHER KING BLVD, WALMART PHARMACY, FAYETTEVILLE, AR 72704-7625
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD12299
AR
Other
Enumeration date
12/01/2013
Last updated
12/01/2013
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