| NPI | 1720132178 |
|---|---|
| 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 1090CP) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2024-11-19 |