Individual
MR. CYRIL FLOYD BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14360 WAX RD., CENTRAL, LA 70818
(225) 261-6541
(225) 262-0502
Mailing address
14360 WAX RD., CENTRAL, LA 70818
(225) 261-6541
(225) 262-0502
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13187
LA
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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