| NPI | 1144275991 |
|---|---|
| Doing Business As | RICHARD M INGRAM MD |
| Entity Type | Organization |
| Authorized Contact | RICHARD INGRAM Asst Secretary 540-662-1108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: VA 0101055301) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-08-22 |