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1720360647
DAVID L BROUSSARD
LAFAYETTE, LA
NPI
1720360647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 16011)
Enumeration Date
2011-09-16
Last Update Date
2011-09-16
Business Address
Mr. DAVID L BROUSSARD R.Ph.
4406 JOHNSTON ST
LAFAYETTE, LA 70503-4234
Phone number: 337-984-5220
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Mailing Address
Mr. DAVID L BROUSSARD R.Ph.
4406 JOHNSTON ST
LAFAYETTE, LA 70503-4234
Phone number:
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