Michael Mouton, is a
Pharmacist based in San Augustine, Texas. Michael Mouton is licensed to practice in Texas (license number 65209) and his current practice location is
705 W Columbia St, San Augustine, Texas. He can be reached at his office (for appointments etc.) via phone at
(936) 275-9060.
NPI number for Michael Mouton is 1306433552 and his current mailing address is 705 W Columbia St, San Augustine, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306433552.
Healthcare Provider's Profile
| Full Name | Michael Mouton |
|---|
| Gender | Male |
|---|
| Speciality | Pharmacist |
|---|
| Location | 705 W Columbia St, San Augustine, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1306433552
- Provider Enumeration Date: 12/22/2020
- Last Update Date: 12/22/2020
Medical Identifiers
Medical identifiers for Michael Mouton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306433552 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 65209 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Mouton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Michael Mouton,
705 W Columbia St,
San Augustine, TX 75972-1710
Ph: () - | Michael Mouton,
705 W Columbia St,
San Augustine, TX 75972-1710
Ph: (936) 275-9060 |
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