Individual
DUSTIN MICHAEL INGRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-7500
(801) 387-7505
Mailing address
1874 S 2650 W, WEST HAVEN, UT 84401-3488
(801) 458-2033
(801) 387-7505
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7867012-1701
UT
Other
Enumeration date
04/13/2019
Last updated
04/13/2019
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