Individual provider · Type 1 NPI

Tho Profera, PharmD

Pharmacist · Sioux Center, IA

NPI number 1114564580 Active

Practice location

255 16th St SW
Sioux Center, IA 51250-2959

Call (712) 722-2326 Map

Fax (712) 722-2589

Mailing address

719 E 13th St
South Sioux City, NE 68776-2427

Other practice locations

  • 719 E 13th St, South Sioux City, NE 68776-2427 · (712) 389-0932

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X23457 (IA)
Pharmacist Primary 183500000X16241 (NE)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

9 other providers at this address

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About NPI 1114564580

Tho Profera, PharmD's National Provider Identifier is 1114564580, issued on Dec 4, 2019. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Sioux Center, IA. The record was last updated on Dec 30, 2019.