Individual
JUDE JOHN BROUSSARD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
611 ST LANDRY ST, LAFAYETTE, LA 70506
(337) 289-2755
(337) 289-2578
Mailing address
8924 RIVER ROAD, ABBERVILLE, LA 70510
(337) 893-3969
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14224
LA
Other
Enumeration date
05/18/2006
Last updated
07/08/2007
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