IndividualActive
Bria Broussard
NPI 1922600717 · Pharmacist · Clinton, MS
Provider details
- NPI number
- 1922600717
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- E-16213 (MS)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
107 Highway 80 E
Clinton, MS 39056-4738
Phone: (601) 925-6343
Approximate (ZIP-level) locationGet directions
Mailing address
2604 Colony Park Dr
Pearl, MS 39208-6375
Registry dates
- Enumerated
- 2020-11-16
- Last updated
- 2020-11-16
- Certified
- 2020-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.