Broulim Supermarkets, Llc in Rigby - Community/retail Pharmacy
Broulim Supermarkets, Llc - NPI 1427101674
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 1427101674. 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 Marcus |
Credentials | PHARMD |
Telephone Number | 2087459201 |
NPI Number Detail
NPI Number | 1427101674 |
---|---|
Provider Enumeration Date | 2007-01-19 |
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 | 1954CP |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1307568 | NCPDP | ||
1427101674 | ID | -- | |
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) 1427101674 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
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: 182 N State St, Rigby, ID, 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.
When did Broulim Supermarkets, Llc receive its 1427101674 assignment?
The Broulim Supermarkets, Llc was assigned its 1427101674 on 2007-01-19, which is the date when this unique identifier was issued to the organization.
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.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY