Individual provider · Type 1 NPI

Kevin Alan Broussard, RPH ANP

Pharmacist · Meridian, MS

NPI number 1720478340 Active

Practice location

2014 Highway 45 N
Meridian, MS 39301-2735

Fax (601) 485-5045

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XP-09013 (MS)

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 1720478340

Kevin Alan Broussard, RPH ANP's National Provider Identifier is 1720478340, issued on Feb 3, 2015. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Meridian, MS. The record was last updated on Feb 3, 2015.