Organization · Type 2 NPI
Customedica Pharmacy Inc
Community/Retail Pharmacy · Eagle, ID
Practice location
149 W State St Ste 101
Eagle, ID 83616-4911
Fax (208) 938-1067
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Retail Pharmacy Primary | 3336C0003X | 1651CP (ID) |
Community/Retail Pharmacy: 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 …
3 other providers at this address
Other community/retail pharmacy providers in Eagle
About NPI 1780729988
Customedica Pharmacy Inc's National Provider Identifier is 1780729988, issued on Feb 21, 2007. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Eagle, ID. The record was last updated on Jan 17, 2026.