Individual
DR. JENNA MARIE INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
14 RICHLAND MEDICAL PARK DR STE 210, COLUMBIA, SC 29203-6877
(803) 434-6482
Mailing address
14 RICHLAND MEDICAL PARK DR STE 210, COLUMBIA, SC 29203-6877
(803) 434-2538
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42648
SC
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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