IndividualActive
Jacob Broussard
NPI 1285138958 · Pharmacist · Leesville, LA
Jacob Broussard is a Pharmacist provider in Leesville, LA (NPI 1285138958).
Provider details
- NPI number
- 1285138958
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 022088 (LA)
Practice location
2204 S 5th St
Leesville, LA 71446-5318
Phone: (337) 238-9041
Street-level locationGet directions
Mailing address
212 N Fernand St
Delcambre, LA 70528-3004
Registry dates
- Enumerated
- 2018-03-19
- Last updated
- 2018-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.