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Broulim Supermarkets Llc
Community/Retail Pharmacy in Rexburg, Idaho
NPI 1003969346

Broulim Supermarkets Llc is a Community/Retail Pharmacy based in Rigby, ID and is specialized in Community/Retail Pharmacy. Broulim Supermarkets Llc practices in Rexburg, ID. The NPI Number for Broulim Supermarkets Llc is 1003969346 and holds a License No. (Idaho).

The current practice location address for Broulim Supermarkets Llc is 124 W Main St, Rexburg, ID and can be reached out via phone at 208-356-5416 and via fax at 208-356-5653.

Location: 124 W Main St, Rexburg, ID, 83442-1407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003969346
Provider Name
Broulim Supermarkets Llc
Credential
Provider Entity Type
Organization
Address
124 W Main St, Rexburg, ID, 83442-1407
Phone Number
208-356-5416
Fax Number
208-356-5653
Provider Enumeration Date
01/19/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1003969346 05 ID
2129024 01 PK
institution
Provider Business Practice Location Address Details
Address
124 W Main St
City
Rexburg
State
Idaho
Zip
83440-1827
Phone Number
208-356-5416
Fax Number
208-356-5653
person
Provider Business Mailing Address Details
Address
124 W Main St
City
Rexburg
State
Idaho
Zip
83440-1827
Phone Number
208-356-5416
Fax Number
208-356-5653
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
1280RP (Idaho)
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 prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
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 process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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