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

Wilfred Broussard Jr.

Individual provider Pharmacist · NPI 1104077890

Wilfred Broussard Jr. is a Pharmacist in Plano, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2008

Practice location Address checks out

801 Legacy Dr Apt 2311
Plano, TX 75023-2228
Phone: (469) 241-1866
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 19241 (TX)

Record details

NPI number1104077890
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 1, 2008
Last updated in NPPESOctober 1, 2008
Mailing address801 Legacy Dr Apt 2311, Plano, TX 75023-2228

Other providers in Plano