Custom RX
Pharmacy · Kuna, ID
Practice location
173 W 4TH StKuna, ID 83634-2046
- Phone
- (208) 922-4400
- Fax
- (208) 922-4499
NPI record
- NPI
- 1457682114
- Entity type
- Organization (Type 2)
- Enumeration date
- January 20, 2010
- Last updated
- June 17, 2016
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X |
2399RP | ID |
| Community/Retail Pharmacy | 3336C0003X |
— | — |
| Compounding Pharmacy | 3336C0004X |
— | — |
Mailing address
PO Box 246Kuna, ID 83634-0246
- Phone
- (208) 922-4400
- Fax
- (208) 922-4499
Authorized official
- Name
- Travis Walthall
- Title
- Pharmacist/Manager
- Phone
- (208) 631-8141
Other names
- Custom Rx Pharmacy
About Custom RX
Custom RX is a healthcare organization registered in the NPI registry with the primary taxonomy Pharmacy (code 333600000X). The practice location is 173 W 4TH St, Kuna, ID 83634-2046. The NPI number 1457682114 was assigned on January 20, 2010 and the record was last updated on June 17, 2016.
Custom RX lists a license in the registry: #2399RP (ID) for Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Travis Walthall, Pharmacist/Manager.
Frequently asked questions
What is the NPI number of Custom RX?
The NPI number is 1457682114.
What is the phone number of Custom RX?
The phone number listed for the practice location is (208) 922-4400.
Where is Custom RX located?
173 W 4TH St, Kuna, ID 83634-2046.
What is the taxonomy code for Custom RX?
The primary taxonomy code is 333600000X – Pharmacy; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Pharmacy providers in Kuna
- Walgreen Co869 E Avalon St
- Vic's Family Pharmacy Inc173 E 4TH St