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1487117636
BROULIM SUPERMARKETS, LLC
IDAHO FALLS, ID
NPI
1487117636
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Entity Type
Organization
Authorized Contact
MARCUS C. HURST
Pharmacy Supervisor
208-745-9201
Organization Subpart ?
No
Primary Taxonomy
333600000X Pharmacy
Enumeration Date
2019-04-12
Last Update Date
2021-01-29
Business Address
BROULIM SUPERMARKETS, LLC
1855 W BROADWAY ST
IDAHO FALLS, ID 83402-3043
Phone number: 208-529-3638
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Mailing Address
BROULIM SUPERMARKETS, LLC
182 N STATE ST
RIGBY, ID 83442-1444
Phone number: 208-745-9201
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