Jay Mason
Pharmacist in Syracuse, UT. Individual provider (NPI-1).
NPI number1982204319
StatusActive
Last updated in NPPESOct 26, 2020
Details
- NPI
- 1982204319
- Entity type
- Individual (NPI-1)
- Name
- Jay Mason
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 26, 2020
- Certification date
- Oct 26, 2020
- Last updated
- Oct 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 5324056-1701 | UT | Yes |
Practice location
2228 W 1700 SSyracuse, UT 84075-7126
Phone 801-643-8208
Mailing address
62 N 2950 WWest Point, UT 84015-7474
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