NPI
Broulim Supermarkets, LLC
Doing business as Broulim's Pharmacy #4 - Thayne. NPI 1225478894
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2013-06-27
- Last updated
- 2025-07-03
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 118 Petersen Pkwy
- City
- Thayne WY
- Postal code
- 83127
- Phone
- (307) 883-6337
Organization contact
- Name
- Marcus Hurst
- Title
- Pharmacy Director
- Phone
- (208) 745-9201
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Thayne, WY. 63 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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