Justesen, Matthew Cole

Justesen, Matthew Cole is an individual health care provider with primary practice located at 4051 E Fairview Ave , Meridian ID 83642-5801. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacotherapy. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Justesen, Matthew Cole can be contacted via phone (208) 373-0024.

Contact Information

Primary practice address
4051 E Fairview Ave Meridian ID 83642-5801
Phone: (208) 373-0024
Fax: (208) 373-0784
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P7594 Idaho
Pharmacy Service Providers / Pharmacotherapy 1835P1200X E18733 Idaho

Profile Details

NPI number 1932518651
LBN Legal business name Justesen, Matthew Cole
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2014
Last updated Mar 26th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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