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Broulim Supermarkets, Llc
Community/Retail Pharmacy in Driggs, Idaho
NPI 1427101674

Broulim Supermarkets, Llc is a Community/Retail Pharmacy based in Rigby, ID and is specialized in Community/Retail Pharmacy. Broulim Supermarkets, Llc practices in Driggs, ID. The NPI Number for Broulim Supermarkets, Llc is 1427101674 and holds a License No. 1954CP (Idaho).

The current practice location address for Broulim Supermarkets, Llc is 240 S Main St, Driggs, ID and can be reached out via phone at 208-354-0057 and via fax at 208-354-9916.

Location: 240 S Main St, Driggs, ID, 83442-1444
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427101674
Provider Name
Broulim Supermarkets, Llc
Credential
Provider Entity Type
Organization
Address
240 S Main St, Driggs, ID, 83442-1444
Phone Number
208-354-0057
Fax Number
208-354-9916
Provider Enumeration Date
01/19/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
1307568 01 NCPDP
1427101674 05 ID
1912011 01 ID IMMUNIZATION SUPPLIER NSC
institution
Provider Business Practice Location Address Details
Address
240 S Main St
City
Driggs
State
Idaho
Zip
83422-5401
Phone Number
208-354-0057
Fax Number
208-354-9916
person
Provider Business Mailing Address Details
Address
240 S Main St
City
Driggs
State
Idaho
Zip
83422-5401
Phone Number
208-354-0057
Fax Number
208-354-9916
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
1954CP (Idaho)
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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