Organization · Type 2 NPI

Customedica Pharmacy Inc

Community/Retail Pharmacy · Boise, ID

NPI number 1982159133 Active

Practice location

1915 W State St
Boise, ID 83702-3958

Call (208) 515-2211 Map

Fax (208) 515-7989

Specialties and licenses

TaxonomyCodeLicense
Pharmacy 333600000X43415RP (ID)
Community/Retail Pharmacy Primary 3336C0003XNone listed

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 …

Another provider at this address

Other community/retail pharmacy providers in Boise

See all in Boise →

About NPI 1982159133

Customedica Pharmacy Inc's National Provider Identifier is 1982159133, issued on Aug 17, 2016. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Boise, ID. The record was last updated on Jan 5, 2026.