Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matthew Bolen

Individual provider Pharmacist · NPI 1114735818

Matthew Bolen is a Pharmacist in Star, Idaho. Licensed in Idaho. Registered with an NPI since 2024.

Licensed in
ID
In the registry since
2024

Practice location Address checks out

145 S Plummer Rd
Star, ID 83669-6199
Phone: (208) 286-0906
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence P11047 (ID)

Record details

NPI number1114735818
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 27, 2024
Last updated in NPPESDecember 27, 2024
Certification dateDecember 26, 2024
Mailing address11714 W Silver City St, Boise, ID 83713-7859

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