CUSTOM RX
Organization (NPI-2)
Active
Pharmacy
Provider Information
- NPI Number
1457682114- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 173 W 4TH ST, KUNA, ID, 836342046
- Phone
- (208) 922-4400
- Fax
- (208) 922-4499
Specialties & Taxonomies
Pharmacy, Compounding Pharmacy
Pharmacy, Community/Retail Pharmacy
Pharmacy
Primary License: ID #2399RP