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“Pharmacy” (Rexburg, ID)

Location: Rexburg, ID
Taxonomy: Pharmacy.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1003969346 — BROULIM SUPERMARKETS, LLC
Practice Location Address:
124 W MAIN ST
REXBURG ID
83440-1827
Practice Phone: 208-356-5416
1043878598 — LEGRANDERX PHARMACY LLC
Practice Location Address:
343 E 4TH N STE 126
REXBURG ID
83440-6004
Practice Phone: 855-534-7263
1992726962 — BYU ID STUDENT HLTH CNTR PCHY
Practice Location Address:
179 STUDENT HLTH CTR
REXBURG ID
83460-0001
Practice Phone: 208-496-9330

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