Healthcare Provider Details

I. General information

NPI: 1316841695
Provider Name (Legal Business Name): CHRISTINA MASON PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 JEFFERSON TER
NEW IBERIA LA
70560-5727
US

IV. Provider business mailing address

719 MALLARD CV
NEW IBERIA LA
70560-1462
US

V. Phone/Fax

Practice location:
  • Phone: 337-376-6868
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPST.017096
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: