| Jacob Steven Broussard, | |
|
2204 S 5th St, Leesville, LA 71446-5318 | |
| (337) 238-9041 | |
| Not Available |
| Full Name | Jacob Steven Broussard |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 2204 S 5th St, Leesville, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285138958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 022088 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Steven Broussard, 212 N Fernand St, Delcambre, LA 70528-3004 Ph: () - | Jacob Steven Broussard, 2204 S 5th St, Leesville, LA 71446-5318 Ph: (337) 238-9041 |
Crista Jeane, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2204 S 5th St, Leesville, LA 71446 Phone: 337-238-9305 Fax: 337-238-9323 | |
Terri Brittany Bailey, PHARM. D Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2204 S 5th St, Leesville, LA 71446 Phone: 337-238-9305 | |
Marcillin Zetrenne, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2204 S 5th St, Leesville, LA 71446 Phone: 337-238-9305 | |
Dr. Michael Rader Ii, PHARM. D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2204 S 5th St, Leesville, LA 71446 Phone: 337-238-9041 Fax: 337-238-9323 | |
Stephanie S Hamilton, BS Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2008 S 5th St, Leesville, LA 71446 Phone: 337-239-2285 Fax: 337-239-6280 | |
Kevin Joseph Soileau, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 100 E Fertitta Blvd, Leesville, LA 71446 Phone: 337-239-6975 |