Individual
MRS. HEATHER A INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1 GRASSO PLZ, AFFTON, MO 63123-3107
(314) 631-8800
(314) 631-8801
Mailing address
1 GRASSO PLZ, AFFTON, MO 63123-3107
(314) 631-8800
(314) 631-8801
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044489
MO
Other
Enumeration date
10/23/2011
Last updated
10/23/2011
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