Timothy Donald Ackerman, PHARMACIST is a
Pharmacist based in Madison Lake, Minnesota. Timothy Donald Ackerman is licensed to practice in Minnesota (license number 113000) and his current practice location is
128 E Bay Dr, Madison Lake, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(507) 391-0134.
NPI number for Timothy Donald Ackerman is 1740699891 and his current mailing address is 128 E Bay Dr, Madison Lake, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1740699891.
Healthcare Provider's Profile
| Full Name | Timothy Donald Ackerman |
|---|
| Gender | Male |
|---|
| Speciality | Pharmacist |
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| Location | 128 E Bay Dr, Madison Lake, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1740699891
- Provider Enumeration Date: 08/02/2014
- Last Update Date: 11/13/2014
Medical Identifiers
Medical identifiers for Timothy Donald Ackerman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740699891 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 113000 (Minnesota) | Primary |
| 183500000X | Pharmacist | S014530 (Arizona) | Secondary |
| 183500000X | Pharmacist | 15882 (Iowa) | Secondary |
| 183500000X | Pharmacist | 16602 (Nevada) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Timothy Donald Ackerman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Timothy Donald Ackerman, PHARMACIST
128 E Bay Dr,
Madison Lake, MN 56063-1009
Ph: (507) 391-0134 | Timothy Donald Ackerman, PHARMACIST
128 E Bay Dr,
Madison Lake, MN 56063-1009
Ph: (507) 391-0134 |
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