Organization · Type 2 NPI

Broulim Supermarkets, LLC

Community/Retail Pharmacy · St. Anthony, ID

NPI number 1669935813 Active

Practice location

301 Aspen Sq
St. Anthony, ID 83445-1662

Fax (844) 721-6082

Mailing address

160 S Clark St
Rigby, ID 83442-1407

Specialties and licenses

TaxonomyCodeLicense
Pharmacy 333600000XNone listed
Clinic Pharmacy 3336C0002XNone listed
Community/Retail Pharmacy Primary 3336C0003XNone 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 …

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About NPI 1669935813

Broulim Supermarkets, LLC's National Provider Identifier is 1669935813, issued on Apr 12, 2019. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in St. Anthony, ID. The record was last updated on Jul 3, 2025.