Organization · Type 2 NPI
Broulim Supermarkets, LLC
Community/Retail Pharmacy · Shelley, ID
Practice location
570 S State St
Shelley, ID 83274-1470
Fax (844) 721-6089
Mailing address
160 S Clark St
Rigby, ID 83442-1407
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | None listed |
| Pharmacy | 333600000X | None listed |
| Clinic Pharmacy | 3336C0002X | None listed |
| Community/Retail Pharmacy Primary | 3336C0003X | None listed |
Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …
4 other providers at this address
About NPI 1396870911
Broulim Supermarkets, LLC's National Provider Identifier is 1396870911, issued on Feb 22, 2007. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Shelley, ID. The record was last updated on Jul 3, 2025.