Broulim Supermarkets, Llc
Community/Retail Pharmacy
118 Petersen Pkwy, Thayne
Wyoming, 83127
307-883-6337 844-204-2988
Broulim Supermarkets, Llc is a Community/Retail Pharmacy in Thayne, Wyoming. It is located at 118 Petersen Pkwy, Thayne and it's customer support contact number is 307-883-6337. The authorized person of Broulim Supermarkets, Llc is Dr. Marcus C Hurst, PHARMD who is Pharmacy Director of the pharmacy and his contact number is 208-745-9201. Broulim Supermarkets, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Broulim Supermarkets, Llc is 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.
Pharmacy Details:
Broulim Supermarkets, Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Broulim Supermarkets, Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 118 Petersen Pkwy, Thayne,
Wyoming, 83127 |
| Phone: | 307-883-6337 |
| Fax: | 844-204-2988 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Marcus C Hurst |
| Credentials: | PHARMD |
| Position: | Pharmacy Director |
| Contact Number: | 208-745-9201 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1225478894 |
| NPI Enumeration Date: | 27 Jun, 2013 |
| NPI Last Update On: | 03 Jul, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Broulim Supermarkets, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | | | Primary | |
| Long Term Care Pharmacy | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| R10216 | Other | Wyoming | Wyoming Board Of Pharmacy |
Medicare Enrollment:
Broulim Supermarkets, Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0345533501 | O20160726000520 | Our Valley Pharmacy | DME SUPPLIER - PHARMACY |
| 0345533501 | O20170110002340 | Our Valley Pharmacy | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Broulim Supermarkets, Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 160 S Clark St.,
Rigby, Idaho |
| Zip: | 83442-1407 |
| Phone Number: | 307-883-6337 |
| Fax Number: | 208-883-6338 |
Patients can reach Broulim Supermarkets, Llc at
118 Petersen Pkwy, Thayne, Wyoming or can
call on customer care at 307-883-6337.
Comments/ Reviews:
Read all the reviews posted for Broulim Supermarkets, Llc below. You may also share your own experience with Broulim Supermarkets, Llc. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.