LISA BLACK MASON

DEFUNIAK SPRINGS, FL
NPI1396028270
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: FL  PS35472)
Additional Taxonomies183500000X Pharmacist
(Licence: AL  14027)
Enumeration Date2011-09-27
Last Update Date2022-05-26
Business Address
LISA BLACK MASON Pharm.D.
1103 US HIGHWAY 331 S
DEFUNIAK SPRINGS, FL 32435-3383
Phone number: 850-951-9880
Mailing Address
LISA BLACK MASON Pharm.D.
1226 FREEPORT HWY S
DEFUNIAK SPRINGS, FL 32435-3396
Phone number: 850-892-6914