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Matthew Bowen, PHARMD

NPI 1619276425 · on the registry since 2011 · sole proprietor

Practice

Address
1555 Northgate Mile
Idaho Falls, ID 83401
Phone
(208) 535-2553
Organisation at this address
Fred Meyer Stores Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

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
2012-03-23
Status
Not present in the most recent federal file

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