Broulim Supermarkets, Llc

Community/Retail Pharmacy



  
  3160 E 17th St Ste 164, Ammon
Idaho, 83406-6784

 208-529-1795    833-887-9908
Broulim Supermarkets, Llc is a Community/Retail Pharmacy in Ammon, Idaho. It is located at 3160 E 17th St Ste 164, Ammon and it's customer support contact number is 208-529-1795. The authorized person of Broulim Supermarkets, Llc is Dr. Marcus Hurst, PHARMD who is Pharmacy Director of the pharmacy and his contact number is 208-745-9201.
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:3160 E 17th St Ste 164, Ammon,
Idaho, 83406-6784
Phone:208-529-1795
Fax:833-887-9908
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 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: 1851854095
NPI Enumeration Date: 12 Apr, 2019
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.
SpecializationLicense NumberStateStatus
Community/Retail Pharmacy Primary
Primary Care Secondary
Pharmacy Secondary
Clinic Pharmacy Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1851854095MedicaidIdaho
NR-51740OtherWyomingBoard Of Pharmacy
1309954OtherNcpdp
53249RPOtherIdahoBoard Of Pharmacy
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: 208-745-9201
Fax Number: 208-745-3431
Patients can reach Broulim Supermarkets, Llc at 3160 E 17th St Ste 164, Ammon, Idaho or can call on customer care at 208-529-1795.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.