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

Matt Amidan

Individual provider Pharmacist · NPI 1174203467

Matt Amidan is a Pharmacist in Moab, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2023
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Practice location Address checks out

290 S Main St
Moab, UT 84532-2596
Phone: (435) 313-2012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 7550499-1701 (UT)

Record details

NPI number1174203467
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 20, 2023
Last updated in NPPESJuly 20, 2023
Certification dateJuly 20, 2023

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