Individual
TIMOTHY DONALD ACKERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
128 E BAY DR, MADISON LAKE, MN 56063-1009
(507) 391-0134
(507) 243-3094
Mailing address
128 E BAY DR, MADISON LAKE, MN 56063-1009
(507) 391-0134
(507) 243-3094
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
113000
MN
183500000X
Pharmacist
15882
IA
183500000X
Pharmacist
16602
NV
183500000X
Pharmacist
S014530
AZ
Other
Enumeration date
08/02/2014
Last updated
11/13/2014
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