Broulim Supermarkets, Llc, NPI 1396870911
Community/Retail Pharmacy in Shelley, ID, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1396870911 |
| NPI Entity Type | Organization |
| Provider Name |
Broulim Supermarkets, Llc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 570 S State St, Shelley, ID, US |
| Provider Mailing Address | 182 N State St, Rigby, ID, US, 834421444 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | PHARMD Marcus C Hurst |
| Official Position | PHARMACY SUPERVISOR |
| Phone | 208-745-9201 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Community/Retail Pharmacy |
| Classification | |
| Group | |
| License No. | 1876RP |
| License State | ID |
| Description | 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 health care providers, collaborative practice, disease state management, and education classes. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 1396870911 | ID | MEDICAID | 05 |
| 1307493 | NCPDP | 01 | |
| 1912011 | ID | IMMUNIZATION SUPPLIER NSC | 01 |
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