DR. TAJAKI LEWIS BROUSSARD PHARM D
NPI 1831728203
Pharmacist in Fort Moore, GA
About Dr. Tajaki Lewis Broussard Pharm D NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TAJAKI LEWIS BROUSSARD PHARM D (NPI 1831728203) is an individual pharmacist in Fort Moore, Georgia, licensed in Georgia (PHI-018176) and active in the NPI registry since April 2020.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT MOORE, GA 31905
FORT BENNING, GA 31905
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tajaki Broussard's NPI number?
The NPI number for Tajaki Broussard is 1831728203. It was assigned to this individual provider in the NPPES registry on April 7, 2020.
Where is Tajaki Broussard located?
Tajaki Broussard practices at 6600 Van Aalst Blvd, Fort Moore, GA 31905. The listed phone number is (762) 408-1650.
What is Tajaki Broussard's specialty?
The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.
When was this NPI record last updated?
The NPPES record for Tajaki Broussard was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.