Customedica Pharmacy INC
Pharmacy, Community/Retail Pharmacy in Boise, ID. Organization (NPI-2).
NPI number1982159133
StatusActive
Last updated in NPPESJan 5, 2026
Details
- NPI
- 1982159133
- Entity type
- Organization (NPI-2)
- Legal business name
- Customedica Pharmacy INC
- Organization subpart
- No
- Enumeration date
- Aug 17, 2016
- Certification date
- Jan 5, 2026
- Last updated
- Jan 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | 43415RP | ID |
Other names
- Customedica Pharmacy North End (Doing Business As)
Practice location
1915 W State StBoise, ID 83702-3958
Phone 208-515-2211 · Fax 208-515-7989
Mailing address
1915 W State StBoise, ID 83702-3958
Phone 208-515-2211 · Fax 208-515-7989
Authorized official
Matthew C Murray
President
2089398008
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