Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MALCOLM J BROUSSARD
Active Sole ProprietorPharmacist · BATON ROUGE, LA
Registration Details
- NPI Number
- 1346241007
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 3, 2005 (20.716854025556 yrs)
- Last Updated
- Apr 7, 2011
- License
-
11396 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3388 BRENTWOOD DRBATON ROUGE, LA, 708091700Browse LA providers · Browse ZIP 70809
- Phone
- 2259256481
- Fax
- 2259220316
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in BATON ROUGE, LA
| Name | Credential | NPI |
|---|---|---|
| DR. MARK ROBERT SCHEXNAYDER | PHARM.D. | 1285631168 |
| MR. MICHAEL RUSSELL DORMAN | PHARMACIST | 1780686121 |
| DR. LESLIE JORDAN DIXON | PHARM.D. | 1144291378 |
| SIMONE GINN | RPH, CDE | 1760450803 |
| KEVIN J JUDICE | RPH, CDM | 1619990207 |
| DALE PRESTENBACH | RPH | 1568474260 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.