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) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
3336C0002X Pharmacy, Clinic Pharmacy | |
Enumeration Date | 2015-09-15 |
Last Update Date | 2024-11-19 |