Organization
ACKMAN PHARMACY INC
Active
Other names
ACKMAN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE ACKMAN RPH (PRES)
(830) 257-4121
Entity
Organization
Contact information
Practice address
200 WESLEY DR, KERRVILLE, TX 78028-5809
(830) 257-4121
(830) 257-3485
Mailing address
PO BOX 290830, KERRVILLE, TX 78029-0830
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11267
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142724
—
TX
01
—
4562484
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/18/2006
Last updated
05/19/2009
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