Provider Demographics
NPI:1558794933
Name:SPRATLAN, KARLA (PHARMD)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:SPRATLAN
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 1:3858 COUNTY ROAD 23
Mailing Address - Street 2:
Mailing Address - City:HARDAWAY
Mailing Address - State:AL
Mailing Address - Zip Code:36039-2500
Mailing Address - Country:US
Mailing Address - Phone:334-485-3387
Mailing Address - Fax:
Practice Address - Street 1:3026 ZELDA RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-2700
Practice Address - Country:US
Practice Address - Phone:334-244-4487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-20
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14218183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist