CUSTOMEDICA PHARMACY, INC
Suppliers at State St, Pearl, ID

License number
Idaho 1651CP
Category
Suppliers
Type
Community/Retail Pharmacy
License number
Idaho 1651CP
Category
Suppliers
Type
Compounding Pharmacy
Owner
Name: SHAH AFSHAR RPH
Title: OWNER, PHARMACIST
Phone: (208) 939-8008
Address
Address
149 W State St SUITE 101, Pearl, ID 83616
National Provider ID: 1780729988
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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