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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIMOTHY DONALD ACKERMAN, PHARMACIST

Active Sole Proprietor

TIMOTHY DONALD ACKERMAN, PHARMACIST is a Pharmacist healthcare provider located in MADISON LAKE, Minnesota. NPI 1740699891 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · MADISON LAKE, MN

Registration Details

NPI Number
1740699891
Provider Type
Individual
Gender
Male
NPI Issued
Aug 2, 2014 (12.004529458761 yrs)
Last Updated
Nov 13, 2014
Licenses
113000 (MN)
S014530 (AZ)
15882 (IA)
16602 (NV)
Sole Proprietor
Yes

Practice Information

Address
128 E BAY DR
MADISON LAKE, MN, 560631009
Browse MN providers · Browse ZIP 56063
Phone
5073910134
Fax
5072433094
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist
Additional Specialty
Pharmacist
Additional Specialty
Pharmacist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.