Individual
MISTY K INGRAM-KEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1490 E MAIN ST, HARRISVILLE, WV 26362-7700
(304) 643-2902
Mailing address
1490 E MAIN ST, HARRISVILLE, WV 26362-7700
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6145
WV
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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