MALCOLM J BROUSSARD

BATON ROUGE, LA
NPI1346241007
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: LA  11396)
Enumeration Date2005-08-03
Last Update Date2011-04-07
Business Address
Mr. MALCOLM J BROUSSARD
3388 BRENTWOOD DR
BATON ROUGE, LA 70809-1700
Phone number: 225-925-6481
Mailing Address
Mr. MALCOLM J BROUSSARD
3388 BRENTWOOD DR
BATON ROUGE, LA 70809-1700
Phone number: 225-925-6481
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