Individual provider · Type 1 NPI
Matthew Bolen
Pharmacist · Star, ID
Practice location
145 S Plummer Rd
Star, ID 83669-6199
Mailing address
11714 W Silver City St
Boise, ID 83713-7859
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | P11047 (ID) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
Another provider at this address
Other pharmacist providers in Star
About NPI 1114735818
Matthew Bolen's National Provider Identifier is 1114735818, issued on Dec 27, 2024. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Star, ID. The record was last updated on Dec 27, 2024.