Organization
TOUTBON LLC
Active
Other names
Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MIKEL MCWILLIAMS (OWNER)
(325) 735-2500
Entity
Organization
Contact information
Practice address
774 STATE HIGHWAY 70 N, ROTAN, TX 79546-6918
(325) 735-2500
(325) 735-3159
Mailing address
774 STATE HIGHWAY 70 N, ROTAN, TX 79546-6918
(325) 735-2500
(325) 735-3159
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
30901
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149499
—
TX
01
—
2159629
PK
—
Enumeration date
04/28/2016
Last updated
03/31/2017
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