SearchIdahoPharmacist

Matthew Ronayne

NPI 1609149665 · on the registry since 2012

Practice

Address
3527 S Federal Way Ste 104
Boise, ID 83705
Phone
(208) 424-7588
Fax
(208) 424-7581
Organisation at this address
Fred Meyer Stores Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
Pharmacist
183500000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-04

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