Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Broulim Supermarkets, LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1225478894

Broulim Supermarkets, LLC is a Durable Medical Equipment & Medical Supplies in Thayne, Wyoming. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

118 Petersen Pkwy
Thayne, WY 83127
Phone: (307) 883-6337
Fax: (844) 204-2988
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Long Term Care Pharmacy Taxonomy 3336L0003X

Record details

NPI number1225478894
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marcus Hurst — Pharmacy Director · (208) 745-9201
Other names Broulim'S Pharmacy #4 - Thayne
NPI enumeratedJune 27, 2013
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025
Mailing address160 S Clark St., Rigby, ID 83442-1407

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