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NPI Code Detail

MEDICARE: MS. GAIL L MASON RPH

MEDICARE: MS. GAIL L MASON RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist6590NC

General Provider Information

NPI Number : 1043516362
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GAIL L MASON RPH
Provider Business Mailing Address
First Line : 13845 CONLAN CIR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-2705
Country : US
Telephone Number : 704-544-2092
Fax Number : 704-544-8251
Provider Business Practice Location Address
First Line : 13845 CONLAN CIR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-2705
Country : US
Telephone Number : 704-544-2092
Fax Number : 704-544-8251
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2011
Last Update Date : 02/03/2011

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