Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TAJAKI LEWIS BROUSSARD, PHARM D
ActiveDR. TAJAKI LEWIS BROUSSARD, PHARM D is a Pharmacist healthcare provider located in FORT MOORE, Georgia. NPI 1831728203 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · FORT MOORE, GA
Registration Details
- NPI Number
- 1831728203
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 7, 2020 (6.3509432086113 yrs)
- Last Updated
- Dec 8, 2023
- License
-
PHI-018176 (GA)
Practice Information
- Address
-
6600 VAN AALST BLVDFORT MOORE, GA, 319052102Browse GA providers · Browse ZIP 31905
- Phone
- 7624081650
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in FORT MOORE, GA
| Name | Credential | NPI |
|---|---|---|
| DR. MALETA NASHON WHITFIELD-PARKER | PHARMD | 1598063638 |
| EBERE EMMANUEL | PHARM.D. | 1669714135 |
| ALANA WONG | PHARMD | 1871933861 |
| DR. LONNIE FORREST BAMBAS | — | 1841001559 |
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.