1720132178 BROULIM SUPERMARKETS, LLC

Community/Retail Pharmacy

Active

Basic Information

Organization Name
BROULIM SUPERMARKETS, LLC
Enumeration Date
January 23, 2007
Last Update
November 19, 2024
Authorized Official
MARCUS C HURST PHARMD
PHARMACY SUPERVISOR
Phone: (208) 745-9201

Practice Location

Address
150 N STATE ST
RIGBY, ID 834421443
Phone
(208) 745-0267
Fax
(208) 745-0208

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 1090CP ID Primary

Other Identifiers

Identifier Type State Issuer
1305831 01 N/A NCPDP PROVIDER IDENTIFICATION NUMBER
1720132178 05 ID N/A
1912011 01 ID MEDICARE NORIDIAN

Frequently Asked Questions

What is BROULIM SUPERMARKETS, LLC's NPI number?
BROULIM SUPERMARKETS, LLC's NPI number is 1720132178.
Which doctor has NPI number 1720132178?
The doctor with NPI number 1720132178 is BROULIM SUPERMARKETS, LLC.
What is BROULIM SUPERMARKETS, LLC's practice address?
BROULIM SUPERMARKETS, LLC's practice address is 150 N STATE ST, RIGBY, ID, 834421443.
Which doctor practices at 150 N STATE ST, RIGBY, ID, 834421443?
BROULIM SUPERMARKETS, LLC practices at 150 N STATE ST, RIGBY, ID, 834421443.
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) 745-0267.
Who is (208) 745-0267?
(208) 745-0267 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) 745-0267 to inquire about availability.
Is NPI 1720132178 still active?
Yes, NPI 1720132178 is currently active.
Where does BROULIM SUPERMARKETS, LLC practice?
BROULIM SUPERMARKETS, LLC practices in RIGBY, ID.