Individual
DR. MICHAEL TODD ACREE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
301 FISHER ST, KEESLER AFB, MS 39534-2508
(228) 377-6582
Mailing address
15216 S SHADOW CREEK DR, BILOXI, MS 39532-8371
(228) 257-9649
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202205298
VA
183500000X
Pharmacist
Primary
T09885
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202205298
PHARMACIST LICENSE
VA
01
—
T09885
PHARMACIST LICENSE
MS
Enumeration date
04/05/2006
Last updated
07/08/2007
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