MATTHEW CLYDE

POCATELLO, ID
NPI1134036122
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183700000X Pharmacy Technician
(Licence: ID  I75826)
Enumeration Date2026-08-25
Last Update Date2026-09-02
Business Address
MATTHEW CLYDE
905 YELLOWSTONE AVE
POCATELLO, ID 83201-4416
Phone number: 208-233-2382
Mailing Address
MATTHEW CLYDE
905 YELLOWSTONE AVE
POCATELLO, ID 83201-4416
Phone number: 208-233-2382