NPI 1073161840

Matthew Johnson, CPHT

Practitioner Pharmacy Technician Nampa, ID

Practice location

Address: 700 12th Ave S, Nampa, ID 83651-4255
Phone: (208) 467-1560

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X

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Registry record

NPI: 1073161840
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Aug 2019
Record last updated: 27 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.