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Individual

MATTHEW R DECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
4845 YELLOWSTONE AVE, CHUBBUCK, ID 83202-2333
(208) 237-3900
(208) 237-4955
Mailing address
4845 YELLOWSTONE AVE, CHUBBUCK, ID 83202-2333
(208) 237-3900
(208) 237-4955

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P8080
ID
183500000X
Pharmacist
PHA.0024243
CO

Other

Enumeration date
07/17/2019
Last updated
04/21/2025
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