Provider Demographics
NPI:1295052561
Name:MASON, RACHEL DOROTHY (PHARM D)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:DOROTHY
Last Name:MASON
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27515 S RONDELET DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-2093
Mailing Address - Country:US
Mailing Address - Phone:281-806-6158
Mailing Address - Fax:
Practice Address - Street 1:9595 SIX PINES DR
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1531
Practice Address - Country:US
Practice Address - Phone:281-292-3962
Practice Address - Fax:281-292-6956
Is Sole Proprietor?:No
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45327183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist