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Organization

MASON PHARMACIST GROUP LLC

Active
Other names
Mason Family Drug
Organization subpart
No

Provider details

NPI number
Authorized official
SHERRY STEVENS (OFFICE MANAGER)
(859) 498-0136
Entity
Organization

Contact information

Practice address
912 KENTON STATION DR, MAYSVILLE, KY 41056-9658
(606) 759-0700
(606) 759-0708
Mailing address
912 KENTON STATION DR, MAYSVILLE, KY 41056-9658
(606) 759-0700
(606) 759-0708

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
P07317
KY
3336C0003X
Community/Retail Pharmacy
Primary
P07317
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1830961
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
12/01/2008
Last updated
07/30/2010
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