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

Richard Wayne Broussard

Individual provider Pharmacist · NPI 1386460004

Richard Wayne Broussard is a Pharmacist in Dayton, Texas. Licensed in Texas. Registered with an NPI since 2024.

Licensed in
TX
In the registry since
2024

Practice location Address checks out

403 E Highway 90
Dayton, TX 77535-2629
Phone: (936) 258-2166
Fax: (936) 258-7617
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 22117 (TX)

Record details

NPI number1386460004
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 26, 2024
Last updated in NPPESNovember 26, 2024
Certification dateNovember 26, 2024
Mailing address403 E Highway 90, Dayton, TX 77535-2629

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