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Wilfred Broussard JR.
Pharmacist in Plano, Texas
NPI 1104077890

Wilfred Broussard JR. is a Pharmacist based in Plano, TX. Wilfred Broussard JR. practices in Plano, TX. The NPI Number for Wilfred Broussard JR. is 1104077890 and holds a License No. 19241 (Texas).

The current practice location address for Wilfred Broussard JR. is 801 Legacy Dr Apt 2311, Plano, TX and can be reached out via phone at 469-241-1866. You can also correspond with Wilfred Broussard JR. through the mailing address at 801 LEGACY DR APT 2311, PLANO, TX - 75023-2228 (mailing address contact number: 469-241-1866).

Location: 801 Legacy Dr Apt 2311, Plano, TX, 75023-2228
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104077890
Provider Name
Wilfred Broussard JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
801 Legacy Dr Apt 2311, Plano, TX, 75023-2228
Phone Number
469-241-1866
Fax Number
Provider Enumeration Date
10/01/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
801 Legacy Dr Apt 2311
City
Plano
State
Texas
Zip
75023-2228
Phone Number
469-241-1866
Fax Number
person
Provider Business Mailing Address Details
Address
801 Legacy Dr Apt 2311
City
Plano
State
Texas
Zip
75023-2228
Phone Number
469-241-1866
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
19241 (Texas)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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