TAJAKI LEWIS BROUSSARD

FORT MOORE, GA
NPI1831728203
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: GA  PHI-018176)
Enumeration Date2020-04-07
Last Update Date2023-12-08
Business Address
Dr. TAJAKI LEWIS BROUSSARD Pharm D
6600 VAN AALST BLVD
FORT MOORE, GA 31905-2102
Phone number: 762-408-1650
Mailing Address
Dr. TAJAKI LEWIS BROUSSARD Pharm D
6600 VAN AALST BLVD
FORT MOORE, GA 31905-2102
Phone number: