Provider Demographics
NPI:1538314273
Name:INGRAM, SHEILA D (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:D
Last Name:INGRAM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 INDIAN WOODS TRL
Mailing Address - Street 2:
Mailing Address - City:CYNTHIANA
Mailing Address - State:KY
Mailing Address - Zip Code:41031-7570
Mailing Address - Country:US
Mailing Address - Phone:859-588-5851
Mailing Address - Fax:
Practice Address - Street 1:317 INDIAN WOODS TRL
Practice Address - Street 2:
Practice Address - City:CYNTHIANA
Practice Address - State:KY
Practice Address - Zip Code:41031-7570
Practice Address - Country:US
Practice Address - Phone:859-588-5851
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-21
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY8663183500000X
MN116748183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist