Individual
MR. DAVID L BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
4406 JOHNSTON ST, LAFAYETTE, LA 70503-4234
(337) 984-5220
(337) 984-0493
Mailing address
4406 JOHNSTON ST, LAFAYETTE, LA 70503-4234
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16011
LA
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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