IndividualActive
Andrew Mathes, PHARMD
NPI 1922732650 · Pharmacist · Mccall, ID
Provider details
- NPI number
- 1922732650
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- P10077 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
451 Deinhard Ln
Mccall, ID 83638-4800
Phone: (208) 634-4929
Approximate (ZIP-level) locationGet directions
Mailing address
6928 N Moon Drummer Way
Meridian, ID 83646-4851
Registry dates
- Enumerated
- 2022-07-09
- Last updated
- 2022-07-09
- Certified
- 2022-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.