DR. Frederick Evan Broussard, RPH
NPI #1194311217 in La Jolla, California
Provider Information
- NPI Number
- 1194311217
- Entity Type
- Individual
- Name
- DR. Frederick Evan Broussard, RPH
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- RPH
- Enumeration Date
- Dec 13, 2020
- Last Updated
- Dec 13, 2020
Practice Location
- Address
- 8831 VILLA LA JOLLA DR
- City
- La Jolla
- State
- California
- ZIP Code
- 92037-1949
- Phone
- (858) 457-4480
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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