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Individual

DR. BRYAN THOMAS SPARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
4600 OLEANDER DR, WILMINGTON, NC 28403-5149
(910) 392-1921
Mailing address
4600 OLEANDER DR, WILMINGTON, NC 28403-5149

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
27731
NC

Other

Enumeration date
06/20/2018
Last updated
06/20/2018
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