| Mr John Edward Broussard, RPH | |
|
105 Cities Service Hwy, Sulphur, LA 70663-5419 | |
| (337) 533-1137 | |
| (337) 533-9879 |
| Full Name | Mr John Edward Broussard |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 105 Cities Service Hwy, Sulphur, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750696639 | NPI | - | NPPES |
| 1896195 | Medicaid | LA | |
| 09-331 | Other | LA | LOUISANA BOARD OF PHARMACY MEDICATION ADMINISTRATIONJ REGISTRY NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 13303 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John Edward Broussard, RPH 105 Cities Service Hwy, Sulphur, LA 70663-5419 Ph: (337) 533-1137 | Mr John Edward Broussard, RPH 105 Cities Service Hwy, Sulphur, LA 70663-5419 Ph: (337) 533-1137 |
Alexandra Porter, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1421 Beglis Pkwy, Sulphur, LA 70663 Phone: 337-528-9918 | |
Mrs. Juanita Tarver Gilbert, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 195 Sam Dunham Rd, Sulphur, LA 70663 Phone: 337-526-3158 | |
Mr. Si Cong Van, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1021 Beglis Pkwy, Sulphur, LA 70663 Phone: 337-527-6575 | |
Scott R Darbonne, PHARMACIST Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1021 Beglis Pkwy, Sulphur, LA 70663 Phone: 337-527-6575 | |
D'undria Taylor, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1508 Beglis Pkwy, Sulphur, LA 70663 Phone: 337-625-2660 | |
Dr. Larry Dale Collins Jr., PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 3901 Maplewood Dr, Sulphur, LA 70663 Phone: 337-287-9599 | |
Marla Karr Bourgeois, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1021 Beglis Pkwy, Sulphur, LA 70663 Phone: 337-527-6575 |