Mr Malcolm J Broussard, - Pharmacist in Baton Rouge, LA

Mr Malcolm J Broussard, is a Pharmacist based in Baton Rouge, Louisiana. Mr Malcolm J Broussard is licensed to practice in Louisiana (license number 11396) and his current practice location is 3388 Brentwood Dr, Baton Rouge, Louisiana. He can be reached at his office (for appointments etc.) via phone at (225) 925-6481.

NPI number for Mr Malcolm J Broussard is 1346241007 and his current mailing address is 3388 Brentwood Dr, Baton Rouge, Louisiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346241007.

Contact Information

Mr Malcolm J Broussard,
3388 Brentwood Dr,
Baton Rouge, LA 70809-1700
(225) 925-6481
(225) 922-0316

Healthcare Provider's Profile

Full NameMr Malcolm J Broussard
GenderMale
SpecialityPharmacist
Location3388 Brentwood Dr, Baton Rouge, Louisiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1346241007
  • Provider Enumeration Date: 08/03/2005
  • Last Update Date: 04/07/2011

Medical Identifiers

Medical identifiers for Mr Malcolm J Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346241007NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 11396 (Louisiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Malcolm J Broussard is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Malcolm J Broussard,
3388 Brentwood Dr,
Baton Rouge, LA 70809-1700

Ph: (225) 925-6481
Mr Malcolm J Broussard,
3388 Brentwood Dr,
Baton Rouge, LA 70809-1700

Ph: (225) 925-6481

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› Verified 9 days ago


Pharmacist in Baton Rouge, LA

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