1336517861 BROULIM SUPERMARKETS, LLC
Community/Retail Pharmacy
Active
Basic Information
- Organization Name
- BROULIM SUPERMARKETS, LLC
- Enumeration Date
- September 15, 2015
- Last Update
- November 19, 2024
- Authorized Official
- MARCUS C HURST
PHARMACY SUPERVISOR
Phone: (208) 745-9201
Practice Location
- Address
- 2730 E SUNNYSIDE RD
AMMON, ID 834067547 - Phone
- (208) 522-3257
- Fax
- (208) 522-3227
Mailing Address
- Address
- 182 N STATE ST
RIGBY, ID 834421444 - Phone
- (208) 745-9201
- Fax
- (208) 745-7433
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Primary Care Clinic/Center Primary Care | 261QP2300X | Clinic/Center | N/A | N/A | No |
| Clinic Pharmacy Clinic Pharmacy | 3336C0002X | Pharmacy | N/A | N/A | No |
| Community/Retail Pharmacy Community/Retail Pharmacy | 3336C0003X | Pharmacy | 40088RP | ID | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336517861 | 05 | ID | N/A |
| 1309310 | 01 | N/A | NCPDP |
| 1912011 | 01 | ID | MEDICARE NORIDIAN |
Frequently Asked Questions
What is BROULIM SUPERMARKETS, LLC's NPI number?
BROULIM SUPERMARKETS, LLC's NPI number is 1336517861.
Which doctor has NPI number 1336517861?
The doctor with NPI number 1336517861 is BROULIM SUPERMARKETS, LLC.
What is BROULIM SUPERMARKETS, LLC's practice address?
BROULIM SUPERMARKETS, LLC's practice address is 2730 E SUNNYSIDE RD, AMMON, ID, 834067547.
Which doctor practices at 2730 E SUNNYSIDE RD, AMMON, ID, 834067547?
BROULIM SUPERMARKETS, LLC practices at 2730 E SUNNYSIDE RD, AMMON, ID, 834067547.
What is BROULIM SUPERMARKETS, LLC's mailing address?
BROULIM SUPERMARKETS, LLC's mailing address is 182 N STATE ST, RIGBY, ID, 834421444.
What is BROULIM SUPERMARKETS, LLC's phone number?
BROULIM SUPERMARKETS, LLC's phone number is (208) 522-3257.
Who is (208) 522-3257?
(208) 522-3257 is the phone number for BROULIM SUPERMARKETS, LLC.
What is BROULIM SUPERMARKETS, LLC's specialty?
BROULIM SUPERMARKETS, LLC's specialty is Community/Retail Pharmacy.
What type of doctor is BROULIM SUPERMARKETS, LLC?
BROULIM SUPERMARKETS, LLC is a Community/Retail Pharmacy.
Is BROULIM SUPERMARKETS, LLC a Community/Retail Pharmacy?
Yes, BROULIM SUPERMARKETS, LLC is a Community/Retail Pharmacy.
Is BROULIM SUPERMARKETS, LLC still practicing?
Yes, BROULIM SUPERMARKETS, LLC is currently practicing.
Is BROULIM SUPERMARKETS, LLC accepting new patients?
BROULIM SUPERMARKETS, LLC may be accepting new patients. Please call their office at (208) 522-3257 to inquire about availability.
Is NPI 1336517861 still active?
Yes, NPI 1336517861 is currently active.
Where does BROULIM SUPERMARKETS, LLC practice?
BROULIM SUPERMARKETS, LLC practices in AMMON, ID.