| Broulim's Pharmacy #17 - 17th Street | |
|
3160 E 17th St Ste 164 Ammon ID 83406-6784 | |
| (208) 529-1795 | |
| (833) 887-9908 |
| Full Name | Broulim's Pharmacy #17 - 17th Street |
|---|---|
| Speciality | Pharmacy - Community/retail Pharmacy |
| Location | 3160 E 17th St Ste 164, Ammon, Idaho |
| Authorized Official Name and Position | Marcus Hurst (PHARMACY DIRECTOR) |
| Authorized Official Contact | 2087459201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broulim's Pharmacy #17 - 17th Street 160 S Clark St Rigby ID 83442-1407 Ph: (208) 745-9201 | Broulim's Pharmacy #17 - 17th Street 3160 E 17th St Ste 164 Ammon ID 83406-6784 Ph: (208) 529-1795 |
| NPI Number | 1851854095 |
|---|---|
| Provider Enumeration Date | 04/12/2019 |
| Last Update Date | 07/03/2025 |
| Certification Date | 07/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851854095 | NPI | - | NPPES |
Greater Good Health PC, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3017 Eagle Drive, Ammon, ID 83406 Phone: 626-232-3929 |
PSC Radiate Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3040 E 17th St Ste A, Ammon, ID 83406 Phone: 208-557-0998 |
Freestone Family Medicine and Wellness PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1477 Center Park Drive, Ammon, ID 83406 Phone: 208-557-1075 |
Broulim's Pharmacy #8 - Ammon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2730 E Sunnyside Rd, Ammon, ID 83406 Phone: 208-522-3257 Fax: 855-829-8681 |
Milestone Medical LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1499 Curlew Dr, Ammon, ID 83406 Phone: 208-529-3342 Fax: 208-529-6631 |
Fortify Optimal Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1189 Red Robin Ave, Ammon, ID 83401 Phone: 619-602-4520 |