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Broulim Supermarkets, Llc
Community/Retail Pharmacy in Afton, Wyoming
NPI 1659615078

Broulim Supermarkets, Llc is a Community/Retail Pharmacy based in Rigby, WY and is specialized in Community/Retail Pharmacy. Broulim Supermarkets, Llc practices in Afton, WY. The NPI Number for Broulim Supermarkets, Llc is 1659615078 and holds a License No. R10090 (Wyoming).

The current practice location address for Broulim Supermarkets, Llc is 141 N Washington St, Afton, WY and can be reached out via phone at 307-886-5550 and via fax at 307-885-5057. You can also correspond with Broulim Supermarkets, Llc through the mailing address at 182 N STATE ST, RIGBY, ID - 83442-1444 (mailing address contact number: 208-745-9201).

Location: 141 N Washington St, Afton, WY, 83442-1444
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659615078
Provider Name
Broulim Supermarkets, Llc
Credential
Provider Entity Type
Organization
Address
141 N Washington St, Afton, WY, 83442-1444
Phone Number
307-886-5550
Fax Number
307-885-5057
Provider Enumeration Date
11/26/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W25566 01 WY IMMUNIZATION SUPPLIER NSC
WY0157 05 WY
5204463 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
141 N Washington St
City
Afton
State
Wyoming
Zip
83110
Phone Number
307-886-5550
Fax Number
307-885-5057
person
Provider Business Mailing Address Details
Address
141 N Washington St
City
Afton
State
Wyoming
Zip
83110
Phone Number
307-886-5550
Fax Number
307-885-5057
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
R10090 (Wyoming)
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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