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

Broulim Supermarkets, LLC

Organization Primary Care Clinic/Center · NPI 1851854095

Broulim Supermarkets, LLC is a Primary Care Clinic/Center in Ammon, Idaho. Registered with an NPI since 2019.

In the registry since
2019
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

3160 E 17th St Ste 164
Ammon, ID 83406-6784
Phone: (208) 529-1795
Fax: (833) 887-9908
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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 number1851854095
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marcus Hurst — Pharmacy Director · (208) 745-9201
Other names Broulim'S Pharmacy #17 - 17th Street
NPI enumeratedApril 12, 2019
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025
Mailing address160 S Clark St, Rigby, ID 83442-1407

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