| NPI | 1023386307 |
|---|---|
| Doing Business As | MASONS' PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TRACY COPELAND Office Manager 318-396-1812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: LA PHY005903IR) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-01 |