IndividualActive
Matthew Johnson, CPHT
NPI 1073161840 · Pharmacy Technician · Nampa, ID
Provider details
- NPI number
- 1073161840
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Credential
- CPHT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Pharmacy Service Providers
Practice location
700 12th Ave S
Nampa, ID 83651-4255
Phone: (208) 467-1560
Approximate (ZIP-level) locationGet directions
Mailing address
700 12th Ave S
Nampa, ID 83651-4255
Registry dates
- Enumerated
- 2019-08-26
- Last updated
- 2023-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.