BROULIM SUPERMARKETS, LLC

AMMON, ID
NPI1851854095
Entity TypeOrganization
Authorized ContactMARCUS C. HURST
Pharmacy Supervisor
208-745-9201
Organization Subpart ?No
Primary Taxonomy333600000X Pharmacy
Enumeration Date2019-04-12
Last Update Date2021-01-29
Business Address
BROULIM SUPERMARKETS, LLC
3160 E 17TH ST STE 164
AMMON, ID 83406-6784
Phone number: 208-529-1795
Mailing Address
BROULIM SUPERMARKETS, LLC
182 N STATE ST
RIGBY, ID 83442-1444
Phone number: 208-745-9201
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BROULIM SUPERMARKETS, LLC