Organization
CUSTOMEDICA PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW C MURRAY PHARM.D. (PRESIDENT)
(208) 939-8008
Entity
Organization
Contact information
Practice address
149 W STATE ST STE 101, EAGLE, ID 83616-4911
(208) 939-8008
(208) 938-1067
Mailing address
149 W STATE ST STE 101, EAGLE, ID 83616-4911
(208) 939-8008
(208) 938-1067
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1651CP
ID
3336C0004X
Compounding Pharmacy
1651CP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1651RP
REGISTRATION
ID
05
—
1780729988
—
ID
Enumeration date
02/21/2007
Last updated
01/17/2026
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