Whalio Doctors

NPI 1003969346

Broulim Supermarkets, LLC

Organisation Community/Retail Pharmacy Rexburg, ID

Practice location

Address
124 W Main St, Rexburg, ID 83440-1827
Phone
(208) 356-5416
Fax
(866) 238-5784
Mailing address
160 S Clark St, Rigby, ID 83442-1407

Authorised official

Name
Marcus Hurst
Title
Pharmacy Director
Phone
(208) 745-9201

Registered specialties (3)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X
Pharmacy
Suppliers Taxonomy 333600000X
Clinic Pharmacy
Suppliers Taxonomy 3336C0002X

Registry record

NPI
1003969346
Entity type
Organization
NPI issued
19 Jan 2007
Record last updated
3 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.