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Custom Rx
Compounding Pharmacy in Kuna, Idaho
NPI 1457682114

Custom Rx is a Compounding Pharmacy based in Kuna, ID and is specialized in Compounding Pharmacy. Custom Rx practices in Kuna, ID. The NPI Number for Custom Rx is 1457682114 and holds a License No. 2399RP (Idaho).

The current practice location address for Custom Rx is 173 W 4Th St, Kuna, ID and can be reached out via phone at 208-922-4400 and via fax at 208-922-4499.

Location: 173 W 4Th St, Kuna, ID, 83634-0246
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457682114
Provider Name
Custom Rx
Credential
Provider Entity Type
Organization
Address
173 W 4Th St, Kuna, ID, 83634-0246
Phone Number
208-922-4400
Fax Number
208-922-4499
Provider Enumeration Date
01/20/2010
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
2123536 01 PK
institution
Provider Business Practice Location Address Details
Address
173 W 4Th St
City
Kuna
State
Idaho
Zip
83634-2046
Phone Number
208-922-4400
Fax Number
208-922-4499
person
Provider Business Mailing Address Details
Address
173 W 4Th St
City
Kuna
State
Idaho
Zip
83634-2046
Phone Number
208-922-4400
Fax Number
208-922-4499
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
2399RP (Idaho)
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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institution
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208-922-4400
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