Individual
SCOTTY PAUL BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
605 S KIBBE ST, ERATH, LA 70533-3917
(337) 453-7328
Mailing address
605 S KIBBE ST, ERATH, LA 70533-3917
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.015681
LA
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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