Nathan Isaac Mouton in Rayne - Pharmacist
Nathan Isaac Mouton - NPI 1164419487
Nathan Isaac Mouton is a Pharmacist in Rayne, Louisiana. Nathan Isaac Mouton practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Nathan Isaac Mouton is 1164419487. The last update date is 2007-07-08.
Nathan Isaac Mouton's current location address is 112 Rue Nydia, Rayne, Louisiana. You can contact this provider via phone number 3373342117 and fax number 3373347668. The mailing address for Nathan Isaac Mouton is 112 Rue Nydia, Rayne, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nathan Isaac Mouton |
|---|---|
| Address | 112 Rue Nydia, Rayne, Louisiana |
| Phone Number | 3373342117 |
| Fax Number | 3373347668 |
| Sole Proprietor | X |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1164419487 |
|---|---|
| Provider Enumeration Date | 2005-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 112 Rue Nydia |
|---|---|
| City | Rayne |
| State | Louisiana (LA) |
| Post Code | 705785448 |
| Phone Number | 3373342117 |
| Fax Number | 3373347668 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 13875 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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What is the unique identification code assigned to Nathan Isaac Mouton by the Centers for Medicare & Medicaid Services?
The Nathan Isaac Mouton has been issued the NPI (National Provider Identifier) 1164419487. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Nathan Isaac Mouton?
The Nathan Isaac Mouton is physically situated at 112 Rue Nydia, in the city of Rayne, state of LA, with the postal code 705785448.
What is the area of specialization for Nathan Isaac Mouton, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Nathan Isaac Mouton is Pharmacist, and the corresponding taxonomy code that categorizes this area of expertise is 183500000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1164419487 to Nathan Isaac Mouton?
The Nathan Isaac Mouton received its 1164419487 assignment from the Centers for Medicare & Medicaid Services on 2005-10-03.
As of what date were the details pertaining to Nathan Isaac Mouton last refreshed?
The information related to the Nathan Isaac Mouton, including its address, specialty, and other relevant details, was last updated on 2007-07-08.