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Stephanie R Mason

Pharmacist in Ponchatoula, LA. Individual provider (NPI-1).

NPI number1982246740
StatusActive
Last updated in NPPESOct 14, 2019

Details

NPI
1982246740
Entity type
Individual (NPI-1)
Name
Stephanie R Mason
Sex
Female
Sole proprietor
No
Enumeration date
Oct 14, 2019
Last updated
Oct 14, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist023183LAYes

Practice location

1331 Us-51 Bus
Ponchatoula, LA 70454

Phone 985-467-8048

Mailing address

61387 Highway 1054
Amite, LA 70422-6025

Phone 225-505-6457

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