Michael Mouton

Pharmacist · San Augustine, TX

Individual Active NPI

NPI number 1306433552

Practice location

705 W Columbia St
San Augustine, TX 75972-1710
Phone
(936) 275-9060

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NPI record

NPI
1306433552
Entity type
Individual (Type 1)
Enumeration date
December 22, 2020
Last updated
December 22, 2020
Certified
December 22, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 65209 TX

About Michael Mouton

Michael Mouton is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 705 W Columbia St, San Augustine, TX 75972-1710. The NPI number 1306433552 was assigned on December 22, 2020 and the record was last updated on December 22, 2020.

Michael Mouton lists a license in the registry: #65209 (TX) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Mouton?

The NPI number is 1306433552.

What is the phone number of Michael Mouton?

The phone number listed for the practice location is (936) 275-9060.

Where is Michael Mouton located?

705 W Columbia St, San Augustine, TX 75972-1710.

What is the taxonomy code for Michael Mouton?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.