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

Broulim Supermarkets, LLC

Organization Primary Care Clinic/Center · NPI 1396870911

Broulim Supermarkets, LLC is a Primary Care Clinic/Center in Shelley, Idaho. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
4
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

570 S State St
Shelley, ID 83274-1470
Phone: (208) 357-0473
Fax: (844) 721-6089
Show map & directions

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

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X
Primary Care Clinic/Center Taxonomy 261QP2300X
Pharmacy Taxonomy 333600000X
Clinic Pharmacy Taxonomy 3336C0002X

Record details

NPI number1396870911
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marcus Hurst — Pharmacy Director · (208) 745-9201
Other names Broulim'S Pharmacy #9 - Shelley
NPI enumeratedFebruary 22, 2007
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025
Mailing address160 S Clark St, Rigby, ID 83442-1407

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