Customedica Pharmacy Inc
Customedica Pharmacy Inc is a Pharmacy in Eagle, Idaho. Licensed in Idaho. Registered with an NPI since 2011.
- Licensed in
- ID
- In the registry since
- 2011
- Specialties on file
- 4
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
149 W State St Ste 101Eagle, ID 83616-4911
Phone: (208) 939-8008
Fax: (208) 938-1067
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Compounding Pharmacy (primary) | Taxonomy 3336C0004X · Licence 1651RP (ID) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
| Community/Retail Pharmacy | Taxonomy 3336C0003X |
| Specialty Pharmacy | Taxonomy 3336S0011X |
Record details
| NPI number | 1508162454 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shah Afshar — Cheif Pharmacist · (208) 939-8008 |
| Other names | Customedica Compounding Center |
| NPI enumerated | February 9, 2011 |
| Last updated in NPPES | August 17, 2016 |
| Mailing address | 149 W State St, Suite 101, Eagle, ID 83616-4901 |
Other providers in Eagle
-
Albertsons LLC
250 S Eagle Rd, Eagle, ID 83616-5906 · (208) 939-9850
-
St Lukes Regional Medical Center
3032 E State St, Eagle, ID 83616-6230 · (208) 706-5255