Michael Mouton
NPI #1306433552 in San Augustine, Texas
Provider Information
- NPI Number
- 1306433552
- Entity Type
- Individual
- Name
- Michael Mouton
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Dec 22, 2020
- Last Updated
- Dec 22, 2020
Practice Location
- Address
- 705 W COLUMBIA ST
- City
- San Augustine
- State
- Texas
- ZIP Code
- 75972-1710
- Phone
- (936) 275-9060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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