Organization · Type 2 NPI

Broulim Supermarkets, LLC

Community/Retail Pharmacy · Ammon, ID

NPI number 1851854095 Active

Practice location

3160 E 17th St Ste 164
Ammon, ID 83406-6784

Call (208) 529-1795 Map

Fax (833) 887-9908

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 …

5 other providers at this address

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About NPI 1851854095

Broulim Supermarkets, LLC's National Provider Identifier is 1851854095, issued on Apr 12, 2019. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Ammon, ID. The record was last updated on Jul 3, 2025.