Individual
STEPHANIE R MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1331 US-51 BUS, PONCHATOULA, LA 70454
(985) 467-8048
Mailing address
61387 HIGHWAY 1054, AMITE, LA 70422-6025
(225) 505-6457
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
023183
LA
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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