Dr. Frederick Evan Broussard
Pharmacist
8831 Villa La Jolla Dr, La Jolla
California, 92037-1949
858-457-4480 Dr. Frederick Evan Broussard is a pharmacist in La Jolla, California. Patients can reach him at 8831 Villa La Jolla Dr, La Jolla or contact him on 858-457-4480. Active license number of Dr. Frederick Evan Broussard is 83939 for Pharmacist in California.
Dr. Frederick Evan Broussard is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Complete Profile:
Dr. Frederick Evan Broussard speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Dr. Frederick Evan Broussard |
| Specialization: | Pharmacist |
| Credentials: | RPH |
| Gender: | Male |
| Location: | 8831 Villa La Jolla Dr, La Jolla,
California, 92037-1949 |
| Phone: | 858-457-4480 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Dr. Frederick Evan Broussard are as mentioned below.
| NPI Number: | 1194311217 |
| NPI Enumeration Date: | 13 Dec, 2020 |
| NPI Last Update On: | 13 Dec, 2020 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Frederick Evan Broussard are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | 83939 | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Frederick Evan Broussard such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 83938 | Other | California | 83938 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 8831 Villa La Jolla Dr,
La Jolla, California |
| Zip: | 92037-1949 |
| Phone Number: | 858-457-4480 |
Patients can reach Dr. Frederick Evan Broussard at
8831 Villa La Jolla Dr, La Jolla, California or can
call on phone at 858-457-4480.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.