MEDICARE: KAREN MASON PHARM D

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
1	183500000X	Pharmacist	0006717	WV
2	183500000X	Pharmacist	03228344	OH

General Provider Information

NPI Number	:	1538440946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN MASON PHARM D

Provider Business Mailing Address
First Line	:	1649 HARRIS HWY
Second Line	:
City	:	WASHINGTON
State	:	WV
Zip	:	26181-3599
Country	:	US
Telephone Number	:	304-863-3051
Fax Number	:	304-863-8813

Provider Business Practice Location Address
First Line	:	1649 HARRIS HWY
Second Line	:
City	:	WASHINGTON
State	:	WV
Zip	:	26181-3599
Country	:	US
Telephone Number	:	304-863-3051
Fax Number	:	304-863-8813

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2011
Last Update Date	:	07/21/2022

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Directions to “ KAREN MASON PHARM D” Practice Location

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