Malcolm J Broussard in Baton Rouge - Pharmacist
Malcolm J Broussard - NPI 1346241007
Malcolm J Broussard is a Pharmacist in Baton Rouge, Louisiana. Malcolm J Broussard practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Malcolm J Broussard is 1346241007. The last update date is 2011-04-07.
Malcolm J Broussard's current location address is 3388 Brentwood Dr, Baton Rouge, Louisiana. You can contact this provider via phone number 2259256481 and fax number 2259220316. The mailing address for Malcolm J Broussard is 3388 Brentwood Dr, Baton Rouge, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Malcolm J Broussard |
|---|---|
| Address | 3388 Brentwood Dr, Baton Rouge, Louisiana |
| Phone Number | 2259256481 |
| Fax Number | 2259220316 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1346241007 |
|---|---|
| Provider Enumeration Date | 2005-08-03 |
| Last Updated Date | 2011-04-07 |
Provider Mailing Address Detail
| Address | 3388 Brentwood Dr |
|---|---|
| City | Baton Rouge |
| State | Louisiana (LA) |
| Post Code | 708091700 |
| Phone Number | 2259256481 |
| Fax Number | 2259220316 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 11396 |
|
Definition: 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 m |
|
Post Comment/ Review Below
What is the unique identification code assigned to Malcolm J Broussard by the Centers for Medicare & Medicaid Services?
The Malcolm J Broussard has been issued the NPI (National Provider Identifier) 1346241007. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Malcolm J Broussard's facilities are situated?
The facilities of Malcolm J Broussard are physically located at the following address: 3388 Brentwood Dr, Baton Rouge, LA, 708091700.
What is the Malcolm J Broussard's specialty and taxonomy code?
The Malcolm J Broussard's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.
On what date did the Malcolm J Broussard receive its 1346241007 assignment from the Centers for Medicare & Medicaid Services?
The Malcolm J Broussard was assigned its 1346241007 by the Centers for Medicare & Medicaid Services on 2005-08-03.
When was the information pertaining to Malcolm J Broussard most recently updated or revised?
The details related to Malcolm J Broussard, including its address, specialty, and other relevant information, were last updated or revised on 2011-04-07.