Organization
MASON PHARMACIST GROUP LLC
Active
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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