340B Drug Pricing Program Database


BROULIM'S PHARMACY - information as of 4/23/2025 11:34:09 PM


BROULIM'S PHARMACY

124 W MAIN ST
REXBURG, ID 83440-1827



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsDSH130025MADISON MEMORIAL HOSPITAL Disproportionate Share Hospital450 EAST MAIN
REXBURGID01/01/201310/08/20162/21/2017 5:47 PM
DetailsDSH130025MADISON MEMORIAL HOSPITAL Disproportionate Share Hospital450 EAST MAIN
REXBURGID04/01/2020 4/1/2020 12:05 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  BROULIM'S PHARMACY 124 W MAIN ST REXBURG, ID 83440-18276/25/2018 1:56 PM
AddressesPharmacy AddressInsert  BROULIM'S PHARMACY 124 WEST MAIN REXBURG, ID 834409/29/2017 6:44 AM
DetailsCommentsUpdate   3/28/2013 4:29 PM
AddressesPharmacy AddressUpdate Broulim's 124 W. Main Street Rexburg, ID 83440BROULIM'S PHARMACY 124 WEST MAIN REXBURG, ID 8344011/29/2012 12:30 PM
DetailsNameUpdate Broulim's BROULIM'S PHARMACY11/29/2012 12:30 PM
DetailsCommentsInsert   10/12/2012 11:37 AM
DetailsIs DeletedInsert  False10/12/2012 11:37 AM
AddressesPharmacy AddressInsert  Broulim's 124 W. Main Street Rexburg, ID 8344010/12/2012 11:37 AM
DetailsNameInsert  Broulim's 10/12/2012 11:37 AM