Broulims Pharmacy

LBN: Broulim Supermarkets, Llc
Broulims Pharmacy is an health care organization with primary practice located at 141 N Washington St , Afton WY 83110. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Broulim Supermarkets, Llc can be contacted via phone (307) 886-5550, or through Hurst, Marcus C via phone (208) 745-9201.

Contact Information

Primary practice address
141 N Washington St Afton WY 83110
Phone: (307) 886-5550
Fax: (307) 885-5057
Website:
Map and Directions
Authorized official contact:
Name: Hurst, Marcus C PHARMD
Phone: (208) 745-9201

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X R10090 Wyoming

Profile Details

NPI number 1659615078
LBN Legal business name Broulim Supermarkets, Llc
DBA Doing business as Broulims Pharmacy
Authorized official Hurst, Marcus C PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 26th, 2012
Last updated Jan 29th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659615078 NPPES
Wyoming Other W25566 IMMUNIZATION SUPPLIER NSC
Wyoming MEDICAID WY0157 IMMUNIZATION SUPPLIER NSC
Wyoming Other 5204463 IMMUNIZATION SUPPLIER NSC

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