Sparks Pharmacy Inc
Compounding Pharmacy
2000 S Springfield Ave, Bolivar
Missouri, 65613-9654
417-777-7455 417-777-7455
Sparks Pharmacy Inc is a Compounding Pharmacy in Bolivar, Missouri. It is located at 2000 S Springfield Ave, Bolivar and it's customer support contact number is 417-777-7455. The authorized person of Sparks Pharmacy Inc is Jeffrey Sparks who is President of the pharmacy and his contact number is 417-777-7455. Active license number of Sparks Pharmacy Inc is 005482 for Compounding Pharmacy in Missouri.
Sparks Pharmacy Inc is 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.
Pharmacy Details:
Sparks Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Sparks Pharmacy Inc |
| Type: | Compounding Pharmacy |
| Location: | 2000 S Springfield Ave, Bolivar,
Missouri, 65613-9654 |
| Phone: | 417-777-7455 |
| Fax: | 417-777-7455 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Jeffrey Sparks |
| Position: | President |
| Contact Number: | 417-777-7455 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1013021328 |
| NPI Enumeration Date: | 17 Aug, 2006 |
| NPI Last Update On: | 26 Oct, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sparks Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Compounding Pharmacy | 005482 | Missouri | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2137787 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 33,
Bolivar, Missouri |
| Zip: | 65613-0033 |
| Phone Number: | 417-777-7455 |
| Fax Number: | 417-777-7455 |
Patients can reach Sparks Pharmacy Inc at
2000 S Springfield Ave, Bolivar, Missouri or can
call on customer care at 417-777-7455.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.