| NPI | 1003969346 |
|---|---|
| Doing Business As | BROULIMS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARCUS HURST Pharmacy Supervisor 208-745-9201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ID 1280RP) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2022-09-07 |