| 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 |