Organization
TOUTBON LLC
Active
Parent organization
TOUTBON, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TOUTBON, LLC
Authorized official
MIKE MCWILLIAMS (OWNER)
(325) 573-7582
Entity
Organization
Contact information
Practice address
774 STATE HIGHWAY 70 N, ROTAN, TX 79546-6918
(325) 735-2500
(325) 735-3109
Mailing address
774 STATE HIGHWAY 70 N, ROTAN, TX 79546-6918
(325) 735-2500
(325) 735-3109
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
30901
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149499
—
TX
Enumeration date
08/27/2018
Last updated
08/27/2018
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