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Organization
BROADMOOR DRUG CENTER INC
Active
Organization
BROADMOOR DRUG CENTER INC
Active
Other names
BROADMOOR DRUG CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN PELLEGRIN PD (OWNER PHCST)
(985) 876-2584
Entity
Organization
Contact information
Practice address
6096 W PARK AVE, HOUMA, LA 70364-1808
(985) 876-2584
(985) 876-5050
Mailing address
6096 W PARK AVE, HOUMA, LA 70364-1797
(985) 876-2584
(985) 876-5050
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
100IR
LA
Other
Enumeration date
11/07/2006
Last updated
09/19/2025
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