Customedica Pharmacy, Inc is not a DME supplier for medicare equipments and products.
Customedica Pharmacy, Inc is a Community/Retail Pharmacy in Eagle, Idaho. It is located at 149 W State St, Suite 101, Eagle and it's customer support contact number is 208-939-8008. The authorized person of Customedica Pharmacy, Inc is Shah Afshar, RPH who is Owner, Pharmacist of the pharmacy and his contact number is 208-939-8008. Active license number of Customedica Pharmacy, Inc is 1651CP for Community/Retail Pharmacy in Idaho. Customedica Pharmacy, Inc is 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.
Pharmacy Details:
Customedica Pharmacy, Inc 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:
Customedica Pharmacy, Inc
Type:
Community/Retail Pharmacy
Location:
149 W State St, Suite 101, Eagle, Idaho, 83616-4959
Phone:
208-939-8008
Fax:
208-938-1067
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:
Shah Afshar
Credentials:
RPH
Position:
Owner, Pharmacist
Contact Number:
208-939-8008
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:
1780729988
NPI Enumeration Date:
21 Feb, 2007
NPI Last Update On:
07 Mar, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Customedica Pharmacy, Inc are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
1651CP
Idaho
Primary
Compounding Pharmacy
1651CP
Idaho
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
1651CP
Other
Idaho
State License #
806251800
Medicaid
Idaho
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
149 W State St, Suite 101 Eagle, Idaho
Zip:
83616-4959
Phone Number:
208-939-8008
Fax Number:
208-938-1067
Patients can reach Customedica Pharmacy, Inc at 149 W State St, Suite 101, Eagle, Idaho or can call on customer care at 208-939-8008.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Other Pharmacies in Eagle, Idaho
St Luke's Regional Medical Center Speciality:Pharmacy Address: 3032 E State St, Eagle, ID Phone: 208-706-5255 Fax: 208-706-5253Walgreens # 12124 Address: 265 S Eagle Rd, Eagle, ID Phone: 208-319-0543 Fax: 208-319-0549Sav-on Pharmacy #0182 Address: 250 S Eagle Rd, Eagle, ID Phone: 208-939-9854 Fax: 208-939-2721Connect Pharmaceuticals Llc Speciality:Long Term Care Pharmacy Address: 621 E State St, Eagle, ID Phone: 208-244-2091 Customedica Compounding Center Speciality:Pharmacy Address: 149 W State St Ste 101, Eagle, ID Phone: 208-939-8008 Fax: 208-938-1067Sav-on Pharmacy Speciality:Pharmacy Address: 250 S Eagle Rd, Eagle, ID Phone: 208-939-9850 Fax: 208-939-2721