Provider Demographics
NPI:1821185828
Name:AKERS, LINDA (PHARMD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:AKERS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 N WATERLOO ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49201-1738
Mailing Address - Country:US
Mailing Address - Phone:517-787-4761
Mailing Address - Fax:
Practice Address - Street 1:110 N WATERLOO ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49201-1738
Practice Address - Country:US
Practice Address - Phone:517-787-4761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302411248183500000X
MIBCPS3971341835N1003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835N1003XPharmacy Service ProvidersPharmacistNutrition Support