MOUTON PHARMACY INC
301 S Adams Ave
Rayne, LA 70578
337-334-2117
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336L0003X | Suppliers - Pharmacy - Long Term Care Pharmacy | ||
N | 333600000X | Suppliers - Pharmacy | ||
N | 332B00000X | Suppliers - Durable Medical Equipment & Medical Supplies | LA | PHY.002569-IR |
Y | 3336C0003X | Suppliers - Pharmacy | AR | OS01568 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2032645 | OTHER | |
1260401 | LA | MEDICAID |