MEDICARE: SPARTA PHARMACY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1821400797
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPARTA PHARMACY

Provider Business Mailing Address
First Line	:	61 SPARTA AVE UNIT B
Second Line	:
City	:	SPARTA
State	:	NJ
Zip	:	07871-1822
Country	:	US
Telephone Number	:	973-512-3131
Fax Number	:	973-512-3336

Provider Business Practice Location Address
First Line	:	61 SPARTA AVE UNIT B
Second Line	:
City	:	SPARTA
State	:	NJ
Zip	:	07871-1822
Country	:	US
Telephone Number	:	973-512-3131
Fax Number	:	973-512-3336

Authorized Official
Title or Position	:	PHARMACIST IN CHARGE
Name	:	MR. SHARAD PATEL
Credential	:	RPH
Telephone Number	:	973-512-3131

Provider Enumeration Date	:	05/27/2014
Last Update Date	:	04/05/2021

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Directions to “SPARTA PHARMACY ” Practice Location

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