Broulim Supermarkets, LLC

NPI #1659615078 in Afton, Wyoming

Provider Information

NPI Number
1659615078
Entity Type
Organization
Organization Name
Broulim Supermarkets, LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Nov 26, 2012
Last Updated
Jul 3, 2025

Practice Location

Address
141 N WASHINGTON ST
City
Afton
State
Wyoming
ZIP Code
83110
Phone
(307) 885-5055

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Clinic PharmacyClinic Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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