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MRS. HEATHER A INGRAM RPH
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1922384916
Individual Registrant:MRS. HEATHER A INGRAM RPH
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1 GRASSO PLZ AFFTON, MO 63123-3107 US
Tel: 314-631-8800 Fax: 314-631-8801
Tel: 314-631-8800 Fax: 314-631-8801
Contact information for business:
1 GRASSO PLZ AFFTON, MO 63123-3107 US
Tel: 314-631-8800 Fax: 314-631-8801
Tel: 314-631-8800 Fax: 314-631-8801
Registration Information:
NPI: 1922384916
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | MO | 044489 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
