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NPI Code Detail

MEDICARE: JORDAN ALBERT ACKERMAN PHARM. D.

MEDICARE:   JORDAN ALBERT ACKERMAN  PHARM. D.
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
1183500000XPharmacistRP443001PA

General Provider Information

NPI Number : 1861719163
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN ALBERT ACKERMAN PHARM. D.
Provider Business Mailing Address
First Line : 1401 W CHELTENHAM AVE
Second Line :
City : MELROSE PARK
State : PA
Zip : 19027-3131
Country : US
Telephone Number : 215-782-8950
Fax Number :
Provider Business Practice Location Address
First Line : 1401 W CHELTENHAM AVE
Second Line :
City : MELROSE PARK
State : PA
Zip : 19027-3131
Country : US
Telephone Number : 215-782-8950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2010
Last Update Date : 04/26/2010

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Directions to “ JORDAN ALBERT ACKERMAN PHARM. D.” Practice Location

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