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Sparks Pharmacy Inc
Compounding Pharmacy in Bolivar, Missouri
NPI 1013021328

Sparks Pharmacy Inc is a Compounding Pharmacy based in Bolivar, MO and is specialized in Compounding Pharmacy. Sparks Pharmacy Inc practices in Bolivar, MO. The NPI Number for Sparks Pharmacy Inc is 1013021328 and holds a License No. (Missouri).

The current practice location address for Sparks Pharmacy Inc is 2000 S Springfield Ave, Bolivar, MO and can be reached out via phone at 417-777-7455 and via fax at 417-777-7455.

Location: 2000 S Springfield Ave, Bolivar, MO, 65613-0033
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013021328
Provider Name
Sparks Pharmacy Inc
Credential
Provider Entity Type
Organization
Address
2000 S Springfield Ave, Bolivar, MO, 65613-0033
Phone Number
417-777-7455
Fax Number
417-777-7455
Provider Enumeration Date
08/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2137787 01 PK
institution
Provider Business Practice Location Address Details
Address
2000 S Springfield Ave
City
Bolivar
State
Missouri
Zip
65613-9654
Phone Number
417-777-7455
Fax Number
417-777-7455
person
Provider Business Mailing Address Details
Address
2000 S Springfield Ave
City
Bolivar
State
Missouri
Zip
65613-9654
Phone Number
417-777-7455
Fax Number
417-777-7455
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
005482 (Missouri)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
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 compounding practice.
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