1508162454 CUSTOMEDICA PHARMACY INC

Compounding Pharmacy

Active

Basic Information

Organization Name
CUSTOMEDICA PHARMACY INC
Enumeration Date
February 9, 2011
Last Update
August 17, 2016
Authorized Official
SHAH AFSHAR PHARM.D.
CHEIF PHARMACIST
Phone: (208) 939-8008

Practice Location

Address
149 W STATE ST STE 101
EAGLE, ID 836164911
Phone
(208) 939-8008
Fax
(208) 938-1067

Mailing Address

Address
149 W STATE ST
SUITE 101
EAGLE, ID 836164901
Phone
(208) 939-8008
Fax
(208) 938-1067

Specialties & Taxonomies

Specialty Code Classification License State Primary
Pharmacy
333600000X Pharmacy N/A N/A No
Community/Retail Pharmacy
Community/Retail Pharmacy
3336C0003X Pharmacy N/A N/A No
Specialty Pharmacy
Specialty Pharmacy
3336S0011X Pharmacy N/A N/A No
Compounding Pharmacy
Compounding Pharmacy
3336C0004X Pharmacy 1651RP ID Primary

Other Identifiers

Identifier Type State Issuer
2128455 01 N/A PK
806251800 05 ID N/A

Frequently Asked Questions

What is CUSTOMEDICA PHARMACY INC's NPI number?
CUSTOMEDICA PHARMACY INC's NPI number is 1508162454.
Which doctor has NPI number 1508162454?
The doctor with NPI number 1508162454 is CUSTOMEDICA PHARMACY INC.
What is CUSTOMEDICA PHARMACY INC's practice address?
CUSTOMEDICA PHARMACY INC's practice address is 149 W STATE ST STE 101, EAGLE, ID, 836164911.
Which doctor practices at 149 W STATE ST STE 101, EAGLE, ID, 836164911?
CUSTOMEDICA PHARMACY INC practices at 149 W STATE ST STE 101, EAGLE, ID, 836164911.
What is CUSTOMEDICA PHARMACY INC's mailing address?
CUSTOMEDICA PHARMACY INC's mailing address is 149 W STATE ST, SUITE 101, EAGLE, ID, 836164901.
What is CUSTOMEDICA PHARMACY INC's phone number?
CUSTOMEDICA PHARMACY INC's phone number is (208) 939-8008.
Who is (208) 939-8008?
(208) 939-8008 is the phone number for CUSTOMEDICA PHARMACY INC.
What is CUSTOMEDICA PHARMACY INC's specialty?
CUSTOMEDICA PHARMACY INC's specialty is Compounding Pharmacy.
What type of doctor is CUSTOMEDICA PHARMACY INC?
CUSTOMEDICA PHARMACY INC is a Compounding Pharmacy.
Is CUSTOMEDICA PHARMACY INC a Compounding Pharmacy?
Yes, CUSTOMEDICA PHARMACY INC is a Compounding Pharmacy.
Is CUSTOMEDICA PHARMACY INC still practicing?
Yes, CUSTOMEDICA PHARMACY INC is currently practicing.
Is CUSTOMEDICA PHARMACY INC accepting new patients?
CUSTOMEDICA PHARMACY INC may be accepting new patients. Please call their office at (208) 939-8008 to inquire about availability.
Is NPI 1508162454 still active?
Yes, NPI 1508162454 is currently active.
Where does CUSTOMEDICA PHARMACY INC practice?
CUSTOMEDICA PHARMACY INC practices in EAGLE, ID.