THO PROFERA

SIOUX CENTER, IA
NPI1114564580
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NE  16241)
Additional Taxonomies183500000X Pharmacist
(Licence: IA  23457)
Enumeration Date2019-12-04
Last Update Date2019-12-30
Business Address
THO PROFERA PharmD
255 16TH ST SW
SIOUX CENTER, IA 51250-2959
Phone number: 712-722-2326
Mailing Address
THO PROFERA PharmD
719 E 13TH ST
SOUTH SIOUX CITY, NE 68776-2427
Phone number: 712-389-0932