Mouton Pharmacy Inc

LBN: Mouton Pharmacy Inc
Mouton Pharmacy Inc is an health care organization with primary practice located at 301 S Adams Ave , Rayne LA 70578-5837. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mouton Pharmacy Inc can be contacted via phone (337) 334-2117, or through Mouton, Nathan via phone (337) 334-2117.

Contact Information

Primary practice address
301 S Adams Ave Rayne LA 70578-5837
Phone: (337) 334-2117
Fax: (337) 334-7668
Website:
Map and Directions
Authorized official contact:
Name: Mouton, Nathan RPH
Phone: (337) 334-2117

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PHY.002569-IR Louisiana
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X OS01568 Arkansas
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1366439648
LBN Legal business name Mouton Pharmacy Inc
DBA Doing business as Mouton Pharmacy Inc
Authorized official Mouton, Nathan RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2005
Last updated Jan 17th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366439648 NPPES
Other 2032645 PK
MEDICAID 1260401 PK

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