Provider Demographics
NPI:1518426055
Name:INGRAM, DEL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DEL
Middle Name:
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 1:2240 NAVIGATION BLVD STE 200-A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77003-1564
Mailing Address - Country:US
Mailing Address - Phone:713-324-7241
Mailing Address - Fax:713-324-7243
Practice Address - Street 1:2240 NAVIGATION BLVD STE 200-A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77003-1564
Practice Address - Country:US
Practice Address - Phone:713-324-7241
Practice Address - Fax:713-324-7243
Is Sole Proprietor?:No
Enumeration Date:2019-03-14
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT72991183500000X
TX42991183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX76-0528826Medicaid