Individual
HAYDEN INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 W 8TH AVE, SPOKANE, WA 99204-2302
(509) 474-2232
Mailing address
105 W 8TH AVE, SPOKANE, WA 99204-2302
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60772968
WA
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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