Individual
BETHANY M INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 854-2128
(888) 804-2829
Mailing address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 854-2128
(888) 804-2829
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH27609
MA
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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