Individual provider · Type 1 NPI

Tajaki Lewis Broussard, PHARM D

Pharmacist · Fort Moore, GA

NPI number 1831728203 Active

Practice location

6600 Van Aalst Blvd
Fort Moore, GA 31905-2102

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPHI-018176 (GA)

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 1831728203

Tajaki Lewis Broussard, PHARM D's National Provider Identifier is 1831728203, issued on Apr 7, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fort Moore, GA. The record was last updated on Dec 8, 2023.