Provider Demographics
NPI:1528065083
Name:SPERO, KIRK C (RPH)
Entity type:Individual
Prefix:MR
First Name:KIRK
Middle Name:C
Last Name:SPERO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:EPHRATA
Mailing Address - State:PA
Mailing Address - Zip Code:17522-2065
Mailing Address - Country:US
Mailing Address - Phone:717-721-4693
Mailing Address - Fax:
Practice Address - Street 1:236 MANOR AVE
Practice Address - Street 2:
Practice Address - City:MILLERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17551-1126
Practice Address - Country:US
Practice Address - Phone:717-872-5448
Practice Address - Fax:717-872-5617
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP045087L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist