Provider Demographics
NPI:1194005769
Name:ACKLAND, MARGARET C (RPH)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:C
Last Name:ACKLAND
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6071 TELEGRAPH RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63129-4758
Mailing Address - Country:US
Mailing Address - Phone:314-846-9265
Mailing Address - Fax:314-846-9270
Practice Address - Street 1:6071 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63129-4758
Practice Address - Country:US
Practice Address - Phone:314-846-9265
Practice Address - Fax:314-846-9270
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO043103183500000X
IL051.290609183500000X
AZ10215183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist