Broulim Supermarkets, Llc in Rigby - Community/retail Pharmacy
Broulim Supermarkets, Llc - NPI 1396870911
Broulim Supermarkets, Llc is a Community/retail Pharmacy in Rigby, Idaho. Broulim Supermarkets, Llc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Broulim Supermarkets, Llc is 1396870911. The last update date is 2021-01-29.
Broulim Supermarkets, Llc's current location address is 182 N State St, Rigby, Idaho. You can contact this provider via phone number 2087459201 and fax number 2087457433. The mailing address for Broulim Supermarkets, Llc is 182 N State St, Rigby, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Broulim Supermarkets, Llc |
|---|---|
| Address | 182 N State St, Rigby, Idaho |
| Phone Number | 2087459201 |
| Fax Number | 2087457433 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMACY S |
|---|---|
| Authorized Official Name | Hurst C Marcus |
| Credentials | PHARMD |
| Telephone Number | 2087459201 |
NPI Number Detail
| NPI Number | 1396870911 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2021-01-29 |
Provider Mailing Address Detail
| Address | 182 N State St |
|---|---|
| City | Rigby |
| State | Idaho (ID) |
| Post Code | 834421444 |
| Phone Number | 2087459201 |
| Fax Number | 2087457433 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 1876RP |
|
Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1396870911 | ID | -- | |
| 1307493 | NCPDP | ||
| 1912011 | ID | IMMUNIZATION SUPPLIER NSC |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Broulim Supermarkets, Llc by the Centers for Medicare & Medicaid Services?
The Broulim Supermarkets, Llc has been assigned the NPI (National Provider Identifier) 1396870911 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Broulim Supermarkets, Llc?
The Broulim Supermarkets, Llc is physically situated at 182 N State St, in the city of Rigby, state of ID, with the postal code 834421444.
What is Broulim Supermarkets, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Broulim Supermarkets, Llc is Community/retail Pharmacy, and the taxonomy classification code that categorizes this area of expertise is 3336C0003X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1396870911 to Broulim Supermarkets, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1396870911 to Broulim Supermarkets, Llc on 2007-02-22.
As of what date was the information regarding Broulim Supermarkets, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Broulim Supermarkets, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-01-29.
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