DR. Tajaki Lewis Broussard, PHARM D
NPI #1831728203 in Fort Moore, Georgia
Provider Information
- NPI Number
- 1831728203
- Entity Type
- Individual
- Name
- DR. Tajaki Lewis Broussard, PHARM D
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- PHARM D
- Enumeration Date
- Apr 7, 2020
- Last Updated
- Dec 8, 2023
Practice Location
- Address
- 6600 VAN AALST BLVD
- City
- Fort Moore
- State
- Georgia
- ZIP Code
- 31905-2102
- Phone
- (762) 408-1650
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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