Broussard, Wilfred
Broussard, Wilfred is an sole proprietor health care provider with primary practice located at 801 Legacy Dr Apt 2311 , Plano TX 75023-2228. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Broussard, Wilfred can be contacted via phone (469) 241-1866.Contact Information
Primary practice address
801 Legacy Dr Apt 2311
Plano TX 75023-2228
Phone: (469) 241-1866
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 19241 | Texas |
Profile Details
| NPI number | 1104077890 |
|---|---|
| LBN Legal business name | Broussard, Wilfred |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 1st, 2008 |
| Last updated | Oct 1st, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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