DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CUSTOMEDICA PHARMACY INC

Active Organization

CUSTOMEDICA PHARMACY INC is a Clinic Pharmacy organization located in EAGLE, Idaho. NPI 1508162454 is currently active in the NPPES registry. Verify at CMS.

Clinic Pharmacy · EAGLE, ID

Registration Details

NPI Number
1508162454
Provider Type
Organization
NPI Issued
Feb 9, 2011 (15.519497374433 yrs)
Last Updated
Aug 17, 2016
License
1651RP (ID)

Practice Information

Address
149 W STATE ST STE 101
EAGLE, ID, 836164911
Browse ID providers · Browse ZIP 83616
Phone
2089398008
Fax
2089381067
Primary Specialty
Clinic Pharmacy
3336C0004X
Additional Specialty
Long-Term Care Pharmacy
Additional Specialty
Specialty Pharmacy
Additional Specialty
Clinic Pharmacy

Other Clinic Pharmacy Organizations in EAGLE, ID

Name NPI
CONNECT WELLNESS 1508725623
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.