MEDICARE: DR. THOMAS EDWARD LACKNER PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P1200X	Pharmacotherapy Pharmacist	1131677	MN

General Provider Information

NPI Number	:	1215934344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS EDWARD LACKNER PHARMD

Provider Business Mailing Address
First Line	:	1372 138TH LN NW
Second Line	:
City	:	ANDOVER
State	:	MN
Zip	:	55304-4095
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1372 138TH LN NW
Second Line	:
City	:	ANDOVER
State	:	MN
Zip	:	55304-4095
Country	:	US
Telephone Number	:	763-755-3662
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1023897105 — OLIVIA MCKAY WOLFF-HERDA MA
Practice Location Address:

13750 CROSSTOWN DR NW STE 10
ANDOVER, MN
55304-5853

Practice Phone: 763-317-8255
Practice Fax: 855-913-2522

1255337408 — DR. WAYNE EDWARD PRATT D.C.
Practice Location Address:

13750 CROSSTOWN DR NW , SUITE L102
ANDOVER, MN
55304-5853

Practice Phone: 763-767-1800
Practice Fax: 763-767-1818

1215933213 — DON J HERVE OD
Practice Location Address:

4615 160TH LN NW
ANDOVER, MN
55304-2213

Practice Phone: 763-434-4948
Practice Fax: 763-434-5095

1356348205 — DR. TRACY LYNN ANDREWS D.C.
Practice Location Address:

3368 BUNKER LAKE BLVD NW
ANDOVER, MN
55304-3787

Practice Phone: 763-427-0820
Practice Fax: 763-421-1044

1396720553 — SCOTT M BENSON II RPH
Practice Location Address:

15245 BLUEBIRD ST NW
ANDOVER, MN
55304-3538

Practice Phone: 763-434-1901
Practice Fax:

1073590881 — BARBARA SCHIEFEN
Practice Location Address:

15245 BLUEBIRD ST NW , HEALTHPARTNERS RIVERWAY ANDOVER URGENT CARE
ANDOVER, MN
55304

Practice Phone: 952-853-8800
Practice Fax:

Directions to “ DR. THOMAS EDWARD LACKNER PHARMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.