Individual
DR. JOAN BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
17000 MEDICAL CENTER DR, BATON ROUGE, LA 70816-3246
(225) 752-2470
Mailing address
17000 MEDICAL CENTER DR, BATON ROUGE, LA 70816-3246
(225) 752-2470
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.021634
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PST.021634
LOUISIANA BOARD OF PHARMACY LICENSED PHARMACIST
LA
Enumeration date
07/26/2016
Last updated
09/12/2016
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