IndividualActive
Brian Thoreson
NPI 1366056160 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Fort Dodge, IA
Provider details
- NPI number
- 1366056160
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 23706 (IA)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
3036 1st Ave S
Fort Dodge, IA 50501-2925
Phone: (515) 576-7405
Approximate (ZIP-level) locationGet directions
Mailing address
101 S Park Ave
Springfield, MN 56087-1413
Registry dates
- Enumerated
- 2020-08-31
- Last updated
- 2020-09-01
- Certified
- 2020-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.