Organization · Type 2 NPI
Sparks Pharmacy Inc
Compounding Pharmacy · Bolivar, MO
Practice location
2000 S Springfield Ave
Bolivar, MO 65613-9654
Fax (417) 777-7455
Mailing address
PO Box 33
Bolivar, MO 65613-0033
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | None listed |
| Compounding Pharmacy Primary | 3336C0004X | 005482 (MO) |
Compounding Pharmacy: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compoun…
2 other providers at this address
About NPI 1013021328
Sparks Pharmacy Inc's National Provider Identifier is 1013021328, issued on Aug 17, 2006. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Bolivar, MO. The record was last updated on Oct 26, 2013.