Individual provider · Type 1 NPI

Ian Thacker

Pharmacist · Moberly, MO

NPI number 1891306528 Active

Practice location

1711 N Morley St
Moberly, MO 65270-3630

Mailing address

4525 Waterloo Dr
Columbia, MO 65202-1162

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X2020031426 (MO)

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…

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About NPI 1891306528

Ian Thacker's National Provider Identifier is 1891306528, issued on Aug 14, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Moberly, MO. The record was last updated on Aug 14, 2020.