| Mr Ronald Joseph Broussard, PHARMACIST | |
|
3131 Stagg, Basile, LA 70515 | |
| (337) 432-6642 | |
| (337) 432-6606 |
| Full Name | Mr Ronald Joseph Broussard |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 3131 Stagg, Basile, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164509550 | NPI | - | NPPES |
| 1262927 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 8958 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ronald Joseph Broussard, PHARMACIST Po Box 426, Basile, LA 70515-0426 Ph: (337) 432-6642 | Mr Ronald Joseph Broussard, PHARMACIST 3131 Stagg, Basile, LA 70515 Ph: (337) 432-6642 |
Richlynn Ledoux Fruge, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2932 Stagg Ave Ste B, Basile, LA 70515 Phone: 337-432-5560 Fax: 337-432-5567 | |
Shanna M Chaumont, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2932 Stagg Ave, Suite B, Basile, LA 70515 Phone: 337-432-5560 Fax: 337-432-5567 |