Provider Demographics
NPI:1174651814
Name:MASON, JAMES S III (RPH)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:S
Last Name:MASON
Suffix:III
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:
Other - Last Name:MASON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:502 HIGHLAND TER
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-2419
Mailing Address - Country:US
Mailing Address - Phone:615-893-7971
Mailing Address - Fax:615-893-7972
Practice Address - Street 1:502 HIGHLAND TER
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-2419
Practice Address - Country:US
Practice Address - Phone:615-893-7971
Practice Address - Fax:615-893-7972
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7977183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist