MEDICARE: MRS. MICHELLE SPARTO PHARMD

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	183500000X	Pharmacist	03127415	OH

General Provider Information

NPI Number	:	1578846580
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MICHELLE SPARTO PHARMD

Provider Business Mailing Address
First Line	:	4050 EXECUTIVE PARK DR STE 203
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45241-2089
Country	:	US
Telephone Number	:	888-588-1072
Fax Number	:	737-292-8997

Provider Business Practice Location Address
First Line	:	4050 EXECUTIVE PARK DR STE 203
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45241-2089
Country	:	US
Telephone Number	:	888-588-1072
Fax Number	:	737-292-8997

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2011
Last Update Date	:	05/20/2025

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