Individual
MS. FELICIA MARIE BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
600 12TH ST, LAKE CHARLES, LA 70601-6128
(337) 436-2508
Mailing address
600 12TH ST, LAKE CHARLES, LA 70601-6128
(337) 436-2508
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015860
LA
183500000X
Pharmacist
29704
TX
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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