Individual
ANGELA RISSER ACKERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3408 BARDSTOWN RD, LOUISVILLE, KY 40218-4608
(502) 912-9879
Mailing address
10413 WORTHINGTON LN, PROSPECT, KY 40059-9565
(317) 502-1449
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017047
KY
183500000X
Pharmacist
26018420A
IN
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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