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1619561008
EVA BROUSSARD
LAKE CHARLES, LA
NPI
1619561008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA PST.011753)
Enumeration Date
2021-02-25
Last Update Date
2021-02-25
Business Address
EVA BROUSSARD
260 SAM HOUSTON JONES PKWY
LAKE CHARLES, LA 70611-5603
Phone number: 337-214-6402
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Mailing Address
EVA BROUSSARD
1776 CRAWFORD DR
LAKE CHARLES, LA 70611-4661
Phone number: 337-515-6579
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