Individual provider · Type 1 NPI
Matthew John Bauer, RPH
Pharmacist · Boise, ID
Practice location
4700 N Eagle Rd # T1960
Boise, ID 83713-0744
Fax (208) 939-5282
Mailing address
2652 S Siesta Dr
Tempe, AZ 85282-2968
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist | 183500000X | 98474 (MT) |
| Pharmacist | 183500000X | S018022 (AZ) |
| Pharmacist Primary | 183500000X | P9887 (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…
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About NPI 1730474289
Matthew John Bauer, RPH's National Provider Identifier is 1730474289, issued on Jun 13, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Boise, ID. The record was last updated on Jun 20, 2024.