Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW BOLEN
ActiveMATTHEW BOLEN is a Pharmacist healthcare provider located in STAR, Idaho. NPI 1114735818 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · STAR, ID
Registration Details
- NPI Number
- 1114735818
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 27, 2024 (1.5895737881009 yrs)
- Last Updated
- Dec 27, 2024
- License
-
P11047 (ID)
Practice Information
- Address
-
145 S PLUMMER RDSTAR, ID, 836696199Browse ID providers · Browse ZIP 83669
- Phone
- 2082860906
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in STAR, ID
| Name | Credential | NPI |
|---|---|---|
| MELINDA W SATER | PHARM.D. | 1407137904 |
| THERESA KATHLEEN ALLGOOD | B.S. | 1467891697 |
| JANENE MARIE WEBSTER-DODGE | RPH | 1831684018 |
| SADIGHA HEYDARI | PHARMD | 1225749575 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.