Custom Rx
NPI #1457682114 in Kuna, Idaho
Provider Information
- NPI Number
- 1457682114
- Entity Type
- Organization
- Organization Name
- Custom Rx
- Primary Specialty
- Pharmacy
- Enumeration Date
- Jan 20, 2010
- Last Updated
- Jun 17, 2016
Practice Location
Authorized Official
- Name
- TRAVIS WALTHALL
- Title
- PHARMACIST/MANAGER
- Phone
- (208) 631-8141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy |
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