Provider Demographics
NPI:1790024032
Name:MASON, CATHERINE LAUREN (PHARMD)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:LAUREN
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 1:2111 SHELBY RD
Mailing Address - Street 2:
Mailing Address - City:KINGS MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28086-8971
Mailing Address - Country:US
Mailing Address - Phone:704-739-2350
Mailing Address - Fax:704-739-2935
Practice Address - Street 1:2111 SHELBY RD
Practice Address - Street 2:
Practice Address - City:KINGS MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28086-8971
Practice Address - Country:US
Practice Address - Phone:704-739-2350
Practice Address - Fax:704-739-2935
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-06
Last Update Date:2017-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21911183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist