Healthcare Provider Details

I. General information

NPI: 1114040193
Provider Name (Legal Business Name): STANLEY E MASON R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 12/07/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7109 N MONROE ST
SPOKANE WA
99208-6238
US

IV. Provider business mailing address

7109 N MONROE ST
SPOKANE WA
99208-6238
US

V. Phone/Fax

Practice location:
  • Phone: 509-465-0396
  • Fax: 509-483-0343
Mailing address:
  • Phone: 509-465-0396
  • Fax: 509-483-0343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH00010876
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: