Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN THORESON
Active Sole ProprietorBRIAN THORESON is a Pharmacist Clinician (PhC) healthcare provider located in FORT DODGE, Iowa. NPI 1366056160 is currently active in the NPPES registry. Verify at CMS.
Pharmacist Clinician (PhC) · FORT DODGE, IA
Registration Details
- NPI Number
- 1366056160
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2020 (5.9893261088074 yrs)
- Last Updated
- Sep 1, 2020
- License
-
23706 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3036 1ST AVE SFORT DODGE, IA, 505012925Browse IA providers · Browse ZIP 50501
- Phone
- 5155767405
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.