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

Other providers in Star