Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GANNON G BROUILLETTE, RPH
ActiveMR. GANNON G BROUILLETTE, RPH is a Pharmacist healthcare provider located in OPELOUSAS, Louisiana. NPI 1790819639 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · OPELOUSAS, LA
Registration Details
- NPI Number
- 1790819639
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 15, 2007 (19.374579108865 yrs)
- Last Updated
- Aug 22, 2023
- License
-
16118 (LA)
Practice Information
- Address
-
1406 W LANDRY STOPELOUSAS, LA, 705702623Browse LA providers · Browse ZIP 70570
- Phone
- 3379422653
- Fax
- 3379428490
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in OPELOUSAS, LA
| Name | Credential | NPI |
|---|---|---|
| ROBERT C LEBAS | P.D. | 1306859152 |
| MRS. TONYA DICKEY | RPH | 1164529707 |
| JOHN DWAYNE BAQUE | RPH | 1063614881 |
| WADE RANDALL VEILLON | PHARMACIST | 1730494782 |
| MR. QUYEN TAN LE | RPH | 1447566039 |
| MRS. DIEADRA PICKNEY CAINS | RPH | 1003122367 |
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.