Matthieu Carman
Pharmacist in Meridian, ID. Individual provider (NPI-1).
NPI number1124919600
StatusActive
Last updated in NPPESJul 11, 2025
Details
- NPI
- 1124919600
- Entity type
- Individual (NPI-1)
- Name
- Matthieu Carman
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2025
- Certification date
- Jul 11, 2025
- Last updated
- Jul 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 4471165 | ID | Yes |
Practice location
520 S Eagle RdMeridian, ID 83642-6351
Phone 208-706-5000
Mailing address
13280 W Pinyon StBoise, ID 83713-1983
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