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Individual

JEREMY RYAN SPARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1 DREXEL DRIVE, BOX COP-DCAS, NEW ORLEANS, LA 70125-1098
(727) 251-0188
Mailing address
5339 CITRUS BLVD APT L369, NEW ORLEANS, LA 70123-7934
(727) 251-0188

Taxonomy

Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
PS57973
FL
1835P2201X
Ambulatory Care Pharmacist
Primary
PST.023580
LA

Other

Enumeration date
12/12/2024
Last updated
12/12/2024
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