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Individual

MISS INGA M. SHIVERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
2228 GARDEN ISLE DR, IRVING, TX 75060-7703
(214) 402-6275
(469) 814-4141
Mailing address
2228 GARDEN ISLE DR, IRVING, TX 75060-7703
(214) 402-6275
(469) 814-4141

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
30734
TX

Other

Enumeration date
05/09/2012
Last updated
05/09/2012
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