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Broulim Supermarkets, Llc
Pharmacy in Ammon, Idaho
NPI 1851854095

Broulim Supermarkets, Llc is a Pharmacy based in Rigby, ID. Broulim Supermarkets, Llc practices in Ammon, ID. The NPI Number for Broulim Supermarkets, Llc is 1851854095 and holds a License No. (Idaho).

The current practice location address for Broulim Supermarkets, Llc is 3160 E 17Th St Ste 164, Ammon, ID and can be reached out via phone at 208-529-1795.

Location: 3160 E 17Th St Ste 164, Ammon, ID, 83442-1444
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851854095
Provider Name
Broulim Supermarkets, Llc
Credential
Provider Entity Type
Organization
Address
3160 E 17Th St Ste 164, Ammon, ID, 83442-1444
Phone Number
208-529-1795
Fax Number
Provider Enumeration Date
04/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3160 E 17Th St Ste 164
City
Ammon
State
Idaho
Zip
83406-6784
Phone Number
208-529-1795
Fax Number
person
Provider Business Mailing Address Details
Address
3160 E 17Th St Ste 164
City
Ammon
State
Idaho
Zip
83406-6784
Phone Number
208-529-1795
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
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.
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