Broulims Supermarkets, LLC
NPI #1750525754 in Montpelier, Idaho
Provider Information
- NPI Number
- 1750525754
- Entity Type
- Organization
- Organization Name
- Broulims Supermarkets, LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Apr 22, 2009
- Last Updated
- Jul 3, 2025
Practice Location
- Address
- 130 S 4TH ST
- City
- Montpelier
- State
- Idaho
- ZIP Code
- 83254-1538
- Phone
- (208) 847-0806
Authorized Official
- Name
- DR. MARCUS C HURST, PHARMD
- Title
- PHARMACY DIRECTOR
- Phone
- (208) 745-9201
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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