Individual
FRED MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
397 POST ROAD EAST, WESTPORT, CT 06880
(203) 227-7343
Mailing address
111 SEABREEZE AVE, MILFORD, CT 06460
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0012727
CT
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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