Individual provider · Type 1 NPI
Wilfred Broussard Jr.
Pharmacist · Plano, TX
Practice location
801 Legacy Dr Apt 2311
Plano, TX 75023-2228
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 19241 (TX) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
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About NPI 1104077890
Wilfred Broussard Jr.'s National Provider Identifier is 1104077890, issued on Oct 1, 2008. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Plano, TX. The record was last updated on Oct 1, 2008.