NPI | 1659615078 |
---|---|
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: WY R10090) |
Enumeration Date | 2012-11-26 |
Last Update Date | 2021-01-29 |