Individual
DR. MARY ANN GUSAKOV-MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
6900 NORTH PECOS ROAD, PHARMACY DEPARTMENT #119, NORTH LAS VEGAS, NV 89086
(702) 791-9000
(702) 224-6900
Mailing address
6900 NORTH PECOS ROAD, PHARMACY DEPARTMENT #119, NORTH LAS VEGAS, NV 89086
(702) 791-9000
(702) 224-6900
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
06559
NV
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
06559
NV
Other
Enumeration date
05/05/2006
Last updated
01/08/2013
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