Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Custom Rx LLC

Organization Community/Retail Pharmacy · NPI 1477029577

Custom Rx LLC is a Community/Retail Pharmacy in Melba, Idaho. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

112 4th St
Melba, ID 83641-5197
Phone: (208) 495-9809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1477029577
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCustom Rx LLC
Authorized official Travis Walthall — Pic/Managing Member · (208) 922-4400
Other names Custom Rx Pharmacy Melba
NPI enumeratedOctober 17, 2018
Last updated in NPPESOctober 17, 2018
Mailing addressPo Box 246, Kuna, ID 83634-0246

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