NPI 1003969346
Broulim Supermarkets, LLC
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
Pharmacy
Clinic Pharmacy
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.