Broulim'S Pharmacy #4 - Thayne

LBN: Broulim Supermarkets, Llc
Broulim'S Pharmacy #4 - Thayne is an health care organization with primary practice located at 118 Petersen Pkwy , Thayne WY 83127. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Broulim Supermarkets, Llc can be contacted via phone (307) 883-6337, or through Hurst, Marcus C via phone (208) 745-9201.

Contact Information

Primary practice address
118 Petersen Pkwy Thayne WY 83127
Phone: (307) 883-6337
Fax: (307) 883-6338
Website:
Map and Directions
Authorized official contact:
Name: Hurst, Marcus C PHARMD
Phone: (208) 745-9201

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1225478894
LBN Legal business name Broulim Supermarkets, Llc
DBA Doing business as Broulim'S Pharmacy #4 - Thayne
Authorized official Hurst, Marcus C PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2013
Last updated Sep 22nd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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