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Contact Information

BROULIM SUPERMARKETS, LLC
124 W MAIN ST
REXBURG, ID83440-1827
 Phone: 208-356-5416
 Fax: 866-238-5784
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BROULIM SUPERMARKETS, LLC

NPI Number 1003969346
LBN Legal business name BROULIM SUPERMARKETS, LLC
Authorized official MARCUS HURST - (PHARMACY DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/19/2007
Last updated 07/03/2025 - About 11 months ago
Identifiers
ID Medicaid 1003969346
ID Other 1280RP BOARD OF PHARMACY
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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