| NPI | 1386950707 |
|---|---|
| Doing Business As | MASON'S CLINIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOSEPH WILEY President 318-396-1812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: LA PHY006288IR) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2010-12-06 |