Search icon

CUSTOMEDICA PHARMACY, INC.

Company claim

Is this your business?

Get access!

Company Details

Name: CUSTOMEDICA PHARMACY, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 30 Dec 2004 (21 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 480131
Place of Formation: IDAHO
File Number: 480131
ZIP code: 83616
County: Ada County
Mailing Address: STE 101 149 W STATE ST EAGLE, ID 83616-4911

Agent

Name Role Address
SHAH AFSHAR Agent 149 W STATE ST STE 101, EAGLE, ID 83616

President

Name Role Address Appointed On
SHAH AFSHAR President 149 W STATE STREET, EAGLE, ID 83616 2020-11-03

Treasurer

Name Role Address Appointed On Resigned On
SHAH AFSHAR Treasurer 149 W STATE ST, EAGLE, ID 83616 2023-11-09 2023-11-09

Secretary

Name Role Address Appointed On Resigned On
MARYAM AFSHAR Secretary 149 W STATE STREET, EAGLE, ID 83616 2023-11-09 2023-11-09

National Provider Identifier

NPI Number:
1982159133

Authorized Person:

Name:
SHAH AFSHAR
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
No
Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
Yes

Contacts:

Fax:
2085157989

Form 5500 Series

Employer Identification Number (EIN):
870738080
Plan Year:
2023
Number Of Participants:
27
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
22
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006079409 2025-01-24
Annual Report 0005474911 2023-11-09
Annual Report 0004973191 2022-11-03
Annual Report 0004477266 2021-11-03
Annual Report 0004049695 2020-11-03

Paycheck Protection Program

Jobs Reported:
20
Initial Approval Amount:
$245,354
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$245,354
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$248,127.86
Servicing Lender:
U.S. Bank, National Association
Use of Proceeds:
Payroll: $245,354

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 02 Jul 2025

Sources: Idaho Secretary of State