Broulim Supermarkets, Llc | |
3160 E 17th St Ste 164 Ammon ID 83406-6784 | |
(208) 529-1795 | |
Not Available |
Full Name | Broulim Supermarkets, Llc |
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Speciality | Pharmacy |
Location | 3160 E 17th St Ste 164, Ammon, Idaho |
Authorized Official Name and Position | Marcus C. Hurst (PHARMACY SUPERVISOR) |
Authorized Official Contact | 2087459201 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Broulim Supermarkets, Llc 182 N State St Rigby ID 83442-1444 Ph: (208) 745-9201 | Broulim Supermarkets, Llc 3160 E 17th St Ste 164 Ammon ID 83406-6784 Ph: (208) 529-1795 |
NPI Number | 1851854095 |
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Provider Enumeration Date | 04/12/2019 |
Last Update Date | 11/19/2024 |
Identifier | Type | State | Issuer |
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1851854095 | NPI | - | NPPES |
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