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Organization
BROUSSARDS PHARMACY OF NEW IBERIA INC
Active
Organization
BROUSSARDS PHARMACY OF NEW IBERIA INC
Active
Other names
BROUSSARDS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NELSON STELLY RPHRM (OWNER)
(337) 364-2381
Entity
Organization
Contact information
Practice address
600 W SAINT PETER ST, NEW IBERIA, LA 70560-3633
(337) 364-2381
(337) 364-2386
Mailing address
600 W SAINT PETER ST, NEW IBERIA, LA 70560-3633
(337) 364-2381
(337) 364-2386
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHY005308-IR
LA
Other
Enumeration date
11/03/2006
Last updated
08/31/2011
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