Individual
PHILLIP WILSON MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.P.H
Contact information
Practice address
3656 AL HIGHWAY 69, GUNTERSVILLE, AL 35976-7196
(256) 571-7115
Mailing address
294 RAINWATER RD, GUNTERSVILLE, AL 35976-7277
(256) 582-6439
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11020
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11020
PHARMACIST LISCENSE NUMBE
AL
Enumeration date
11/29/2006
Last updated
07/08/2007
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