Matthew Bolen

Pharmacist · Star, ID

Individual Active NPI

NPI number 1114735818

Practice location

145 S Plummer Rd
Star, ID 83669-6199
Phone
(208) 286-0906

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NPI record

NPI
1114735818
Entity type
Individual (Type 1)
Enumeration date
December 27, 2024
Last updated
December 27, 2024
Certified
December 26, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X P11047 ID

Mailing address

11714 W Silver City St
Boise, ID 83713-7859
Phone
(208) 473-8835

About Matthew Bolen

Matthew Bolen is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 145 S Plummer Rd, Star, ID 83669-6199. The NPI number 1114735818 was assigned on December 27, 2024 and the record was last updated on December 27, 2024.

Matthew Bolen lists a license in the registry: #P11047 (ID) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Matthew Bolen?

The NPI number is 1114735818.

What is the phone number of Matthew Bolen?

The phone number listed for the practice location is (208) 286-0906.

Where is Matthew Bolen located?

145 S Plummer Rd, Star, ID 83669-6199.

What is the taxonomy code for Matthew Bolen?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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