Provider Demographics
NPI:1215245782
Name:AKERS, TIM (PHARM D)
Entity type:Individual
Prefix:
First Name:TIM
Middle Name:
Last Name:AKERS
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 S MCCRARY ST
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:TN
Mailing Address - Zip Code:37190-5997
Mailing Address - Country:US
Mailing Address - Phone:615-563-8379
Mailing Address - Fax:615-563-2569
Practice Address - Street 1:1130 S MCCRARY ST
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:TN
Practice Address - Zip Code:37190-5997
Practice Address - Country:US
Practice Address - Phone:615-563-8379
Practice Address - Fax:615-563-2569
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-18
Last Update Date:2010-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11283183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist