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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KEVIN ALAN BROUSSARD, RPH ANP

Active Sole Proprietor

MR. KEVIN ALAN BROUSSARD, RPH ANP is a Pharmacist healthcare provider located in MERIDIAN, Mississippi. NPI 1720478340 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · MERIDIAN, MS

Registration Details

NPI Number
1720478340
Provider Type
Individual
Gender
Male
NPI Issued
Feb 3, 2015 (11.339742195211 yrs)
Last Updated
Feb 3, 2015
License
P-09013 (MS)
Sole Proprietor
Yes

Practice Information

Address
2014 HIGHWAY 45 N
MERIDIAN, MS, 393012735
Browse MS providers · Browse ZIP 39301
Phone
6014825799
Fax
6014855045
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in MERIDIAN, MS

Name Credential NPI
MILLI M FLOYD R.PH. 1265463095
ROBERT BOWLES RPH 1144312216
MRS. ELLEN DARNELL BALTZELL PHARM-D 1023188984
MR. ROBERT C BOYD R.PH 1942372305
MRS. SEDJINON GARDNER DOXEY 1568523140
MR. HARRY HOUSTON WHEAT III 1114088788
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.