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

Dr. Tajaki Lewis Broussard, PHARMD

Individual provider Pharmacist · NPI 1831728203

Dr. Tajaki Lewis Broussard, PHARMD is a Pharmacist in Fort Moore, Georgia. Licensed in Georgia. Registered with an NPI since 2020.

Licensed in
GA
In the registry since
2020
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

6600 Van Aalst Blvd
Fort Moore, GA 31905-2102
Phone: (762) 408-1650
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PHI-018176 (GA)

Record details

NPI number1831728203
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedApril 7, 2020
Last updated in NPPESDecember 8, 2023
Certification dateDecember 8, 2023

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