Broulim Supermarkets LLC
NPI #1508926734 in Soda Springs, Idaho
Provider Information
- NPI Number
- 1508926734
- Entity Type
- Organization
- Organization Name
- Broulim Supermarkets LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 11, 2006
- Last Updated
- Jul 3, 2025
Practice Location
- Address
- 89 W 2ND S
- City
- Soda Springs
- State
- Idaho
- ZIP Code
- 83276-1509
- Phone
- (208) 547-3300
Authorized Official
- Name
- DR. MARCUS HURST, PHARMD
- Title
- PHARMACY DIRECTOR
- Phone
- (208) 745-9201
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Clinic Pharmacy — Clinic Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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