Pharmacy Details

BROULIMS PHARMACY #1 RIGBY - information as of 4/24/2025 12:48:50 AM

Name
BROULIMS PHARMACY #1 RIGBY

Address

150 N STATE ST
RIGBY, ID 83442-1443

Comments

Contracts
History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
Details	DSH130025	MADISON MEMORIAL HOSPITAL		Disproportionate Share Hospital	450 EAST MAIN		REXBURG	ID	01/01/2013	10/08/2016	2/21/2017 5:47 PM
Details	DSH130025	MADISON MEMORIAL HOSPITAL		Disproportionate Share Hospital	450 EAST MAIN		REXBURG	ID	04/01/2020		4/1/2020 12:05 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			BROULIMS PHARMACY #1 RIGBY 150 N STATE ST RIGBY, ID 83442-1443	5/5/2021 10:46 AM
Details	Name	Update		BROULIMS PHARMACY	BROULIMS PHARMACY #1 RIGBY	5/5/2021 10:46 AM
Addresses	Pharmacy Address	Insert			BROULIMS PHARMACY 150 N STATE ST RIGBY, ID 83442-1443	6/25/2018 1:56 PM
Addresses	Pharmacy Address	Insert			BROULIMS PHARMACY 150 NORTH STATE RIGBY, ID 83442	9/29/2017 6:44 AM
Details	Comments	Update				3/28/2013 4:29 PM
Addresses	Pharmacy Address	Update		Broulim's 570 South State Street Rigby, ID 83442	BROULIMS PHARMACY 150 NORTH STATE RIGBY, ID 83442	12/6/2012 1:46 PM
Details	Name	Update		Broulim's	BROULIMS PHARMACY	12/6/2012 1:46 PM
Details	Comments	Insert				10/12/2012 11:40 AM
Details	Is Deleted	Insert			False	10/12/2012 11:40 AM
Addresses	Pharmacy Address	Insert			Broulim's 570 South State Street Rigby, ID 83442	10/12/2012 11:40 AM