Matthew Bolen
Pharmacist · Star, ID
Practice location
145 S Plummer RdStar, ID 83669-6199
- Phone
- (208) 286-0906
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
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X |
P11047 | ID |
Mailing address
11714 W Silver City StBoise, 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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