Custom Rx LLC
NPI #1477029577 in Melba, Idaho
Provider Information
- NPI Number
- 1477029577
- Entity Type
- Organization
- Organization Name
- Custom Rx LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CUSTOM RX LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 17, 2018
- Last Updated
- Oct 17, 2018
Practice Location
Authorized Official
- Name
- TRAVIS WALTHALL, RPH
- Title
- PIC/MANAGING MEMBER
- Phone
- (208) 922-4400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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