Provider Demographics
NPI:1821142662
Name:MASE, COURTNEY GRIFFIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:GRIFFIN
Last Name:MASE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MRS
Other - First Name:COURTNEY
Other - Middle Name:GRIFFIN
Other - Last Name:MASE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:50 FIELDSTONE DR
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:CT
Mailing Address - Zip Code:06612-1016
Mailing Address - Country:US
Mailing Address - Phone:802-881-9782
Mailing Address - Fax:
Practice Address - Street 1:50 FIELDSTONE DR
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:CT
Practice Address - Zip Code:06612-1016
Practice Address - Country:US
Practice Address - Phone:617-699-3912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT33.00038381835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist