Broulim Supermarkets Llc in Rigby - Pharmacy
Broulim Supermarkets Llc - NPI 1003969346
Broulim Supermarkets Llc is a Pharmacy in Rigby, Idaho. Broulim Supermarkets Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Broulim Supermarkets Llc is 1003969346. The last update date is 2022-09-07.
Broulim Supermarkets Llc's current location address is 160 S Clark St, Rigby, Idaho. You can contact this provider via phone number 2083565416 and fax number 2083565653. The mailing address for Broulim Supermarkets Llc is 160 S Clark St, Rigby, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Broulim Supermarkets Llc |
|---|---|
| Address | 160 S Clark St, Rigby, Idaho |
| Phone Number | 2083565416 |
| Fax Number | 2083565653 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMACY S |
|---|---|
| Authorized Official Name | Hurst Marcus |
| Credentials | PHARMD |
| Telephone Number | 2087459201 |
NPI Number Detail
| NPI Number | 1003969346 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2022-09-07 |
Provider Mailing Address Detail
| Address | 160 S Clark St |
|---|---|
| City | Rigby |
| State | Idaho (ID) |
| Post Code | 834421407 |
| Phone Number | 2083565416 |
| Fax Number | 2083565653 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
|
Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1003969346 | ID | -- | |
| 2129024 | PK |
Post Comment/ Review Below
What is the Broulim Supermarkets Llc's 1003969346?
The Broulim Supermarkets Llc's NPI (National Provider Identifier) Number is 1003969346. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Broulim Supermarkets Llc's facilities are geographically located?
The facilities of Broulim Supermarkets Llc are physically situated at the following location: 160 S Clark St, Rigby, ID, 834421407.
What is the Broulim Supermarkets Llc's area of specialization and corresponding taxonomy classification?
The Broulim Supermarkets Llc's specialty field is Pharmacy, and it falls under the taxonomy code 333600000X, which categorizes healthcare providers based on their specialties.
When did the Broulim Supermarkets Llc receive its 1003969346?
The Broulim Supermarkets Llc was issued its 1003969346 on 2007-01-19, which is the date when the organization was assigned this unique identifier.
When was the Broulim Supermarkets Llc's information last updated?
The Broulim Supermarkets Llc's information was last updated on 2022-09-07.
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