location
search-icon
institution
Customedica Pharmacy Inc
Specialty Pharmacy in Eagle, Idaho
NPI 1508162454

Customedica Pharmacy Inc is a Specialty Pharmacy based in Eagle, ID and is specialized in Specialty Pharmacy. Customedica Pharmacy Inc practices in Eagle, ID. The NPI Number for Customedica Pharmacy Inc is 1508162454 and holds a License No. (Idaho).

The current practice location address for Customedica Pharmacy Inc is 149 W State St Ste 101, Eagle, ID and can be reached out via phone at 208-939-8008 and via fax at 208-938-1067.

Location: 149 W State St Ste 101, Eagle, ID, 83616-4901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508162454
Provider Name
Customedica Pharmacy Inc
Credential
Provider Entity Type
Organization
Address
149 W State St Ste 101, Eagle, ID, 83616-4901
Phone Number
208-939-8008
Fax Number
208-938-1067
Provider Enumeration Date
02/09/2011
Last Update Date
02/15/2025
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
2128455 01 PK
806251800 05 ID
institution
Provider Business Practice Location Address Details
Address
149 W State St Ste 101
City
Eagle
State
Idaho
Zip
83616-4911
Phone Number
208-939-8008
Fax Number
208-938-1067
person
Provider Business Mailing Address Details
Address
149 W State St Ste 101
City
Eagle
State
Idaho
Zip
83616-4911
Phone Number
208-939-8008
Fax Number
208-938-1067
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.
1651RP (Idaho)
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.
()
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.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Specialty Pharmacy
Taxonomy
3336S0011X
License No.
()
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.