Organization
BROULIM SUPERMARKETS, LLC
Active
Other names
Broulim's Pharmacy #5 -Saint Anthony
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCUS C. HURST PHARMD (PHARMACY DIRECTOR)
(208) 745-9201
Entity
Organization
Contact information
Practice address
301 ASPEN SQ, SAINT ANTHONY, ID 83445-1662
(208) 228-0424
(844) 721-6082
Mailing address
160 S CLARK ST, RIGBY, ID 83442-1407
(208) 745-9201
(208) 745-3431
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/12/2019
Last updated
07/03/2025
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