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Broulims Supermarkets, Llc
Community/Retail Pharmacy in Montpelier, Idaho
NPI 1750525754

Broulims Supermarkets, Llc is a Community/Retail Pharmacy based in Rigby, ID and is specialized in Community/Retail Pharmacy. Broulims Supermarkets, Llc practices in Montpelier, ID. The NPI Number for Broulims Supermarkets, Llc is 1750525754 and holds a License No. 2322CP (Idaho).

The current practice location address for Broulims Supermarkets, Llc is 130 S 4Th St, Montpelier, ID and can be reached out via phone at 208-847-0806 and via fax at 208-847-0841. You can also correspond with Broulims Supermarkets, Llc through the mailing address at 182 N STATE ST, RIGBY, ID - 83442-1444 (mailing address contact number: 208-745-9201).

Location: 130 S 4Th St, Montpelier, ID, 83442-1444
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750525754
Provider Name
Broulims Supermarkets, Llc
Credential
Provider Entity Type
Organization
Address
130 S 4Th St, Montpelier, ID, 83442-1444
Phone Number
208-847-0806
Fax Number
208-847-0841
Provider Enumeration Date
04/22/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1912011 01 ID IMMUNIZATION SUPPLIER NSC
1308217 01 NCPDP PROVIDER IDENTIFICATION NUMBER
1750525754 05 ID
institution
Provider Business Practice Location Address Details
Address
130 S 4Th St
City
Montpelier
State
Idaho
Zip
83254-1538
Phone Number
208-847-0806
Fax Number
208-847-0841
person
Provider Business Mailing Address Details
Address
130 S 4Th St
City
Montpelier
State
Idaho
Zip
83254-1538
Phone Number
208-847-0806
Fax Number
208-847-0841
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
2322CP (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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