Jacob Steven Broussard

NPI #1285138958 in Leesville, Louisiana

Provider Information

NPI Number
1285138958
Entity Type
Individual
Name
Jacob Steven Broussard
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Mar 19, 2018
Last Updated
Mar 19, 2018

Practice Location

Address
2204 S 5TH ST
ZIP Code
71446-5318
Phone
(337) 238-9041

Specialties & Taxonomy Codes

Specialty
Pharmacist

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