| Matthew Bolen, | |
|
145 S Plummer Rd, Star, ID 83669-6199 | |
| (208) 286-0906 | |
| Not Available |
| Full Name | Matthew Bolen |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 145 S Plummer Rd, Star, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114735818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | P11047 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Bolen, 11714 W Silver City St, Boise, ID 83713-7859 Ph: (208) 473-8835 | Matthew Bolen, 145 S Plummer Rd, Star, ID 83669-6199 Ph: (208) 286-0906 |
Sadigha Heydari, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 210 N Highbrook Way, Star, ID 83669 Phone: 208-272-9450 | |
Melinda W Sater, PHARM.D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 7450 Southern Vista Ct, Star, ID 83669 Phone: 208-286-9037 | |
Theresa Kathleen Allgood, B.S. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 210 N Highbrook Way, Star, ID 83669 Phone: 208-272-9450 Fax: 208-272-9449 | |
Janene Marie Webster-dodge, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 9732 W State St, Star, ID 83669 Phone: 208-286-0906 Fax: 208-286-0726 |