Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Frederick Evan Broussard, RPH

Individual provider Pharmacist · NPI 1194311217

Dr. Frederick Evan Broussard, RPH is a Pharmacist in LA Jolla, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

8831 Villa La Jolla Dr
LA Jolla, CA 92037-1949
Phone: (858) 457-4480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 83939 (CA)

Record details

NPI number1194311217
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedDecember 13, 2020
Last updated in NPPESDecember 13, 2020
Certification dateDecember 11, 2020

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