Richard Wayne Broussard

NPI #1386460004 in Dayton, Texas

Provider Information

NPI Number: 1386460004
Entity Type: Individual
Name: Richard Wayne Broussard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Nov 26, 2024
Last Updated: Nov 26, 2024

Practice Location

Address: 403 E HIGHWAY 90
City: Dayton
State: Texas
ZIP Code: 77535-2629
Phone: (936) 258-2166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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