Individual
M. JOHN BRAQUET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2240 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70506-3705
(337) 981-0924
Mailing address
2640 HOFFPAUIR RD, RAYNE, LA 70578-2513
(337) 334-4120
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16324
LA
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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