Individual
BRIAN THORESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3036 1ST AVE S, FORT DODGE, IA 50501-2925
(515) 576-7405
Mailing address
101 S PARK AVE, SPRINGFIELD, MN 56087-1413
(507) 766-3940
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
23706
IA
Other
Enumeration date
08/31/2020
Last updated
09/01/2020
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