Provider Demographics
NPI:1578846580
Name:SPARTO, MICHELLE (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:
Last Name:SPARTO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4050 EXECUTIVE PARK DR STE 203
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45241-2089
Mailing Address - Country:US
Mailing Address - Phone:888-588-1072
Mailing Address - Fax:737-292-8997
Practice Address - Street 1:4050 EXECUTIVE PARK DR STE 203
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45241-2089
Practice Address - Country:US
Practice Address - Phone:888-588-1072
Practice Address - Fax:737-292-8997
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-26
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03127415183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist