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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATT AMIDAN

Active Sole Proprietor

Pharmacist · MOAB, UT

Registration Details

NPI Number
1174203467
Provider Type
Individual
Gender
Male
NPI Issued
Jul 20, 2023 (2.7558049321275 yrs)
Last Updated
Jul 20, 2023
License
7550499-1701 (UT)
Sole Proprietor
Yes

Practice Information

Address
290 S MAIN ST
MOAB, UT, 845322596
Browse UT providers · Browse ZIP 84532
Phone
4353132012
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in MOAB, UT

Name Credential NPI
DR. DOUGLAS MARK STEWART PHARMD 1407131469
JONATHAN FRANK WEISBECKER RPH 1295178267
JEREMY OLSEN PHARMD. 1689017626
WILLIAM DAVID MORCK RPH 1295178812
DANIEL COOK I PHARMD 1871036707
PATRICIA WALKER 1639769102
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.