Search › Idaho › Pharmacist
Matthew Bolen
NPI 1114735818 · on the registry since 2024
Practice
- Address
- 145 S Plummer Rd
Star, ID 83669 - Phone
- (208) 286-0906
- Organisation at this address
- Ridleys Family Markets Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho