Individual
STUART MATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4400 E FLAMINGO AVE, NAMPA, ID 83687-9203
(208) 205-0660
(208) 205-0662
Mailing address
4400 E FLAMINGO AVE, NAMPA, ID 83687-9203
(208) 205-0660
(208) 205-0662
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4957
ID
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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