Individual provider · Type 1 NPI

Jacob Steven Broussard

Pharmacist · Leesville, LA

NPI number 1285138958 Active

Practice location

2204 S 5th St
Leesville, LA 71446-5318

Call (337) 238-9041 Map

Mailing address

212 N Fernand St
Delcambre, LA 70528-3004

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X022088 (LA)

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 1285138958

Jacob Steven Broussard's National Provider Identifier is 1285138958, issued on Mar 19, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Leesville, LA. The record was last updated on Mar 19, 2018.