NPI | 1336517861 |
---|---|
Doing Business As | BROULIM'S PHARMACY #8 - AMMON |
Entity Type | Organization |
Authorized Contact | MARCUS C HURST Pharmacy Director 208-745-9201 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
333600000X Pharmacy | |
3336C0002X Pharmacy, Clinic Pharmacy | |
Enumeration Date | 2015-09-15 |
Last Update Date | 2025-07-03 |