Provider Demographics
NPI:1568016327
Name:MASON, HANNAH JOY (PHARMD)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:JOY
Last Name:MASON
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 1:3520 PACIFIC AVE SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-2121
Mailing Address - Country:US
Mailing Address - Phone:360-491-9754
Mailing Address - Fax:360-456-2310
Practice Address - Street 1:3520 PACIFIC AVE SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-2121
Practice Address - Country:US
Practice Address - Phone:360-491-9754
Practice Address - Fax:360-456-2310
Is Sole Proprietor?:No
Enumeration Date:2019-07-30
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60973579183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist