Healthcare Provider Details
I. General information
NPI: 1053690776
Provider Name (Legal Business Name): MICHAEL FRANKLIN AKERS PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/11/2011
Last Update Date: 05/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
CENTRACARE CLINIC RIVER CAMPUS 1200 6TH AVENUE NORTH
ST CLOUD MN
56303-2735
US
IV. Provider business mailing address
CENTRACARE CLINIC RIVER CAMPUS 1200 6TH AVENUE NORTH
ST. CLOUD MN
56303-2735
US
V. Phone/Fax
- Phone: 320-252-5131
- Fax: 320-240-2146
- Phone: 320-252-5131
- Fax: 320-240-2146
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1835P0018X |
| Taxonomy | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| License Number | 120595 |
| License Number State | MN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 120595 |
| License Number State | MN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: