Ian Thacker

Pharmacist · Moberly, MO

Individual Active NPI

NPI number 1891306528

Practice location

1711 N Morley St
Moberly, MO 65270-3630
Phone
(660) 263-4187

Open in Google Maps

NPI record

NPI
1891306528
Entity type
Individual (Type 1)
Enumeration date
August 14, 2020
Last updated
August 14, 2020
Certified
August 14, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 2020031426 MO

Mailing address

4525 Waterloo Dr
Columbia, MO 65202-1162

About Ian Thacker

Ian Thacker is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1711 N Morley St, Moberly, MO 65270-3630. The NPI number 1891306528 was assigned on August 14, 2020 and the record was last updated on August 14, 2020.

Ian Thacker lists a license in the registry: #2020031426 (MO) 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 Ian Thacker?

The NPI number is 1891306528.

What is the phone number of Ian Thacker?

The phone number listed for the practice location is (660) 263-4187.

Where is Ian Thacker located?

1711 N Morley St, Moberly, MO 65270-3630.

What is the taxonomy code for Ian Thacker?

The primary taxonomy code is 183500000X – Pharmacist.

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.

Other Pharmacist providers in Moberly

All Pharmacist providers in Moberly, MO →