HomeNPI Verification

NPI Verification

National Provider Identifier: 1366275638

Broulim Supermarkets, LLC

Organization

Primary Specialty

Clinic/Center, Health Services

Code: 261QH0100X

All Specialties (3)

Family Medicine

Code: 207Q00000X

Clinic/Center, Health Services

Code: 261QH0100X

Primary

Clinic/Center, Primary Care

Code: 261QP2300X

Practice Address

160 S CLARK ST

RIGBY, ID 834421407

Phone: 208-745-9201

NPI Enumeration Date

August 22, 2024

NPI Number

1366275638

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry