Customedica Pharmacy Inc
Pharmacy
1915 W State St, Boise
Idaho, 83702-3966
208-515-2211 208-515-7989
Customedica Pharmacy Inc is a Pharmacy in Boise, Idaho. It is located at 1915 W State St, Boise and it's customer support contact number is 208-515-2211. The authorized person of Customedica Pharmacy Inc is Shah Afshar who is President of the pharmacy and his contact number is 208-939-8008. Active license number of Customedica Pharmacy Inc is 43415RP for Pharmacy in Idaho.
Customedica Pharmacy Inc 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:
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: | Pharmacy |
| Location: | 1915 W State St, Boise,
Idaho, 83702-3966 |
| Phone: | 208-515-2211 |
| Fax: | 208-515-7989 |
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 |
| Position: | President |
| 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: | 1982159133 |
| NPI Enumeration Date: | 17 Aug, 2016 |
| NPI Last Update On: | 07 Nov, 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 Customedica Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | 43415RP | Idaho | Primary | |
| 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 |
| 2163643 | Other | | Pk |
| 1982159133 | 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: | 1915 W State St,
Boise, Idaho |
| Zip: | 83702-3966 |
| Phone Number: | 208-515-2211 |
| Fax Number: | 208-515-7989 |
Patients can reach Customedica Pharmacy Inc at
1915 W State St, Boise, Idaho or can
call on customer care at 208-515-2211.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.