Individual
LYNDA SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1 N WHITTAKER ST, NEW BUFFALO, MI 49117-1135
(269) 469-3636
(269) 469-3279
Mailing address
1 N WHITTAKER ST, NEW BUFFALO, MI 49117-1135
(269) 469-3636
(269) 469-3279
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302410685
MI
Other
Enumeration date
09/28/2011
Last updated
09/16/2021
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