Individual
KARLA M BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
701 PRIDE DR, HAMMOND, LA 70401-9526
(985) 543-0092
(985) 543-0603
Mailing address
701 PRIDE DR, HAMMOND, LA 70401-9526
(985) 543-0092
(985) 543-0603
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13647
LA
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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