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Custom Rx — NPI 1457682114, Kuna, ID | NPI Central

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NPI 1457682114

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Custom Rx

NPI 1457682114 · Pharmacy · Kuna, ID

Provider details

NPI number: 1457682114
Entity type: Organization
Primary specialty: PharmacySuppliers
Organization subpart: No
Authorized official: Travis Walthall, Pharmacist/Manager(208) 631-8141

Specialties & taxonomies

PharmacyPrimary333600000XLicense 2399RP (ID)
Suppliers
Compounding Pharmacy3336C0004X
Suppliers
Community/Retail Pharmacy3336C0003X
Suppliers

Practice location

173 W 4th St

Kuna, ID 83634-2046

Phone: (208) 922-4400

Fax: (208) 922-4499

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

Po Box 246

Kuna, ID 83634-0246

Other names (DBA / former)

Doing business as: Custom Rx Pharmacy

Registry dates

Enumerated: 2010-01-20
Last updated: 2016-06-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.