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

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

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