Individual
DR. NICHOLAS DALE SPARROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
943 HUALAPAI WAY, PEACH SPRINGS, AZ 86434
(928) 769-2992
(928) 769-1336
Mailing address
101 S MOORE AVE, CLAREMORE, OK 74017-5091
(918) 342-6623
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6085618-1701
UT
183500000X
Pharmacist
6085618-8911
UT
Other
Enumeration date
06/29/2009
Last updated
06/14/2023
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