NPI | 1336517861 |
---|---|
Doing Business As | BROULIMS PHARMACY |
Entity Type | Organization |
Authorized Contact | MARCUS C HURST Pharmacy Supervisor 208-745-9201 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: ID 40088RP) |
Enumeration Date | 2015-09-15 |
Last Update Date | 2021-01-29 |