Individual
KIERAN INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
757 E 20TH AVE, DENVER, CO 80205-3278
(303) 861-8169
Mailing address
3275 PERRY ST, DENVER, CO 80212-1729
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0023506
CO
Other
Enumeration date
07/27/2024
Last updated
07/27/2024
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