Custom Rx
Pharmacy
173 W 4th St, Kuna
Idaho, 83634-2046
208-922-4400 208-922-4499
Custom Rx is a Pharmacy in Kuna, Idaho. It is located at 173 W 4th St, Kuna and it's customer support contact number is 208-922-4400. The authorized person of Custom Rx is Travis Walthall who is Pharmacist/manager of the pharmacy and his contact number is 208-631-8141. Active license number of Custom Rx is 2399RP for Pharmacy in Idaho.
Custom Rx is 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.
Pharmacy Details:
Custom Rx type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Custom Rx |
| Type: | Pharmacy |
| Location: | 173 W 4th St, Kuna,
Idaho, 83634-2046 |
| Phone: | 208-922-4400 |
| Fax: | 208-922-4499 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Travis Walthall |
| Position: | Pharmacist/manager |
| Contact Number: | 208-631-8141 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1457682114 |
| NPI Enumeration Date: | 20 Jan, 2010 |
| NPI Last Update On: | 17 Jun, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Custom Rx are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | 2399RP | Idaho | Primary | |
| Compounding Pharmacy | | | Secondary | |
| Community/Retail Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2123536 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 246,
Kuna, Idaho |
| Zip: | 83634-0246 |
| Phone Number: | 208-922-4400 |
| Fax Number: | 208-922-4499 |
Patients can reach Custom Rx at
173 W 4th St, Kuna, Idaho or can
call on customer care at 208-922-4400.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.