Broulim Supermarkets, Llc

LBN: Broulim Supermarkets, Llc
Broulim Supermarkets, Llc is an health care organization with primary practice located at 3160 E 17Th St Ste 164 , Ammon ID 83406-6784. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Broulim Supermarkets, Llc can be contacted via phone (208) 529-1795, or through Hurst, Marcus C. via phone (208) 745-9201.

Contact Information

Primary practice address
3160 E 17Th St Ste 164 Ammon ID 83406-6784
Phone: (208) 529-1795
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hurst, Marcus C. PHARMD
Phone: (208) 745-9201

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1851854095
LBN Legal business name Broulim Supermarkets, Llc
DBA Doing business as
Authorized official Hurst, Marcus C. PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2019
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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