Provider Demographics
NPI:1407380140
Name:LEMASTER, TERRA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TERRA
Middle Name:
Last Name:LEMASTER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1240 PARK AVE W
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44906-2814
Mailing Address - Country:US
Mailing Address - Phone:419-528-1862
Mailing Address - Fax:419-528-1964
Practice Address - Street 1:1240 PARK AVE W
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44906-2814
Practice Address - Country:US
Practice Address - Phone:419-528-1862
Practice Address - Fax:419-528-1964
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-19
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03135676183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist