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General NPI Number Information
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NPI Number | 1245872704
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Entity Type | Organization
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Legal Business Name | SPARTA DRUG CENTER LLC
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Dates
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Enumeration Date | 10/16/2019
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 425 N SPRING ST
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City | SPARTA
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State | TN
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Zip | 38583-1323
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Country | US
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Telephone | 931-837-5000
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Fax | 855-644-3200
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Provider Business Mailing Address
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Address Line | 425 N SPRING ST
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City | SPARTA
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State | TN
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Zip | 38583-1323
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Country | US
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Telephone | 931-837-5000
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Fax | 855-644-3200
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Authorized Official
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Title or Position | LLC MEMBER/PHARMACIST
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Name | ELIZABETH ANN KIRBY
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Credential |
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Telephone | 931-837-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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