Broulim Supermarkets, LLC

NPI #1396870911 in Shelley, Idaho

Provider Information

NPI Number
1396870911
Entity Type
Organization
Organization Name
Broulim Supermarkets, LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Feb 22, 2007
Last Updated
Jul 3, 2025

Practice Location

Address
570 S STATE ST
State
Idaho
ZIP Code
83274-1470
Phone
(208) 357-0473

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care
Pharmacy
Pharmacy - Clinic PharmacyClinic Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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