GERALD BROUSSARD

NEW IBERIA, LA
NPI1437263712
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: LA  9747)
Enumeration Date2006-08-17
Last Update Date2007-07-08
Business Address
-- GERALD BROUSSARD R.P.H.
805 CENTER ST
NEW IBERIA, LA 70560-5505
Phone number: 337-364-0464
Mailing Address
-- GERALD BROUSSARD R.P.H.
17724 LOUISIANA HIGHWAY 331
ERATH, LA 70533
Phone number: 337-937-8416