Broulim Supermarkets, LLC

NPI #1225478894 in Thayne, Wyoming

Provider Information

NPI Number
1225478894
Entity Type
Organization
Organization Name
Broulim Supermarkets, LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jun 27, 2013
Last Updated
Jul 3, 2025

Practice Location

Address
118 PETERSEN PKWY
City
Thayne
State
Wyoming
ZIP Code
83127
Phone
(307) 883-6337

Authorized Official

Name
DR. MARCUS C HURST, PHARMD
Title
PHARMACY DIRECTOR
Phone
(208) 745-9201

Specialties & Taxonomy Codes

Specialty
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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