BROULIM SUPERMARKETS, LLC is a pharmacy in Idaho Falls, ID. The provider is 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. BROULIM SUPERMARKETS, LLC NPI is 1487117636. The provider is registered as an organization entity type.
The provider's business location address is:
1855 W BROADWAY ST
IDAHO FALLS, ID
ZIP 83402-043
Phone: (208) 529-3638
Fax: (208) 523-0222
The provider's authorized official is Marcus C. Hurst .
The authorized official title is Pharmacy Supervisor and has the following contact phone number (208) 745-9201.
The CLIA number assigned to this NPI record is 13D2167139 - pharmacy with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/12/2019 and was last updated on 1/29/2021.