CUSTOMEDICA PHARMACY INC is a pharmacy in Boise, ID. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. CUSTOMEDICA PHARMACY INC NPI is 1982159133. The provider is registered as an organization entity type.
The provider Is Doing Business As Customedica Pharmacy North End.
The provider's business location address is:
1915 W STATE ST
BOISE, ID
ZIP 83702-966
Phone: (208) 515-2211
Fax: (208) 515-7989
The provider's authorized official is Shah Afshar .
The authorized official title is President and has the following contact phone number (208) 939-8008.
The CLIA number assigned to this NPI record is 13D2188141 - pharmacy with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/17/2016 and was last updated on 11/7/2016.