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Broulim Supermarkets, Llc
Community/Retail Pharmacy in Rigby, Idaho
NPI 1720132178

Broulim Supermarkets, Llc is a Community/Retail Pharmacy based in Rigby, ID and is specialized in Community/Retail Pharmacy. Broulim Supermarkets, Llc practices in Rigby, ID. The NPI Number for Broulim Supermarkets, Llc is 1720132178 and holds a License No. (Idaho).

The current practice location address for Broulim Supermarkets, Llc is 150 N State St, Rigby, ID and can be reached out via phone at 208-745-0267 and via fax at 208-745-0208.

Location: 150 N State St, Rigby, ID, 83442-1444
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720132178
Provider Name
Broulim Supermarkets, Llc
Credential
Provider Entity Type
Organization
Address
150 N State St, Rigby, ID, 83442-1444
Phone Number
208-745-0267
Fax Number
208-745-0208
Provider Enumeration Date
01/23/2007
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1305831 01 NCPDP PROVIDER IDENTIFICATION NUMBER
1720132178 05 ID
1912011 01 ID MEDICARE NORIDIAN
institution
Provider Business Practice Location Address Details
Address
150 N State St
City
Rigby
State
Idaho
Zip
83442-1443
Phone Number
208-745-0267
Fax Number
208-745-0208
person
Provider Business Mailing Address Details
Address
150 N State St
City
Rigby
State
Idaho
Zip
83442-1443
Phone Number
208-745-0267
Fax Number
208-745-0208
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
1090CP (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
()
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
person
Provider's Taxonomy Details 3
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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