Individual
MATTHEW WAYNE FUIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5230 W FRANKLIN RD, BOISE, ID 83705-1109
(208) 439-6433
(208) 439-6427
Mailing address
697 W DAVENPORT ST, MERIDIAN, ID 83642-8140
(208) 995-3419
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P9415
ID
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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