Provider Demographics
NPI:1063797652
Name:TOUCHTON, PAUL ANDREW (RPH)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:ANDREW
Last Name:TOUCHTON
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1217 W JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:FL
Mailing Address - Zip Code:32351-2125
Mailing Address - Country:US
Mailing Address - Phone:850-627-7663
Mailing Address - Fax:850-627-7673
Practice Address - Street 1:1217 W JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:FL
Practice Address - Zip Code:32351-2125
Practice Address - Country:US
Practice Address - Phone:850-627-7663
Practice Address - Fax:850-627-7673
Is Sole Proprietor?:No
Enumeration Date:2011-10-15
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0026075183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist