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1619276425
MATTHEW BOWEN
IDAHO FALLS, ID
NPI
1619276425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P6391)
Enumeration Date
2011-03-18
Last Update Date
2012-03-23
Business Address
-- MATTHEW BOWEN PharmD
1555 NORTHGATE MILE
IDAHO FALLS, ID 83401-2014
Phone number: 208-535-2553
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Mailing Address
-- MATTHEW BOWEN PharmD
1512 CHESNEY CT
IDAHO FALLS, ID 83402-5244
Phone number: 208-523-5852
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