Tho Profera, PHARMD
NPI #1114564580 in Sioux Center, Iowa
Provider Information
- NPI Number
- 1114564580
- Entity Type
- Individual
- Name
- Tho Profera, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- Dec 4, 2019
- Last Updated
- Dec 30, 2019
Practice Location
- Address
- 255 16TH ST SW
- City
- Sioux Center
- State
- Iowa
- ZIP Code
- 51250-2959
- Phone
- (712) 722-2326
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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