Tho Profera, PHARMD

Pharmacist · Sioux Center, IA

Individual Active NPI

NPI number 1114564580

Practice location

255 16TH St SW
Sioux Center, IA 51250-2959
Phone
(712) 722-2326
Fax
(712) 722-2589

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NPI record

NPI
1114564580
Entity type
Individual (Type 1)
Enumeration date
December 4, 2019
Last updated
December 30, 2019
Certified
December 30, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 16241 NE
Pharmacist 183500000X 23457 IA

Mailing address

719 E 13TH St
South Sioux City, NE 68776-2427
Phone
(712) 389-0932

Other practice locations (1)

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

About Dr. Profera

Tho Profera, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 255 16TH St SW, Sioux Center, IA 51250-2959. The NPI number 1114564580 was assigned on December 4, 2019 and the record was last updated on December 30, 2019.

Dr. Profera lists 2 licenses in the registry: #16241 (NE) for Pharmacist; #23457 (IA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tho Profera, PHARMD?

The NPI number is 1114564580.

What is the phone number of Dr. Profera?

The phone number listed for the practice location is (712) 722-2326.

Where is Dr. Profera located?

255 16TH St SW, Sioux Center, IA 51250-2959.

What is the taxonomy code for Dr. Profera?

The primary taxonomy code is 183500000X – Pharmacist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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