Provider Demographics
NPI:1831552009
Name:MASON, STEVE (RPH)
Entity type:Individual
Prefix:
First Name:STEVE
Middle Name:
Last Name:MASON
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 PAINT FORK RD
Mailing Address - Street 2:PO BOX 593
Mailing Address - City:BARNARDSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28709-9765
Mailing Address - Country:US
Mailing Address - Phone:828-626-3462
Mailing Address - Fax:
Practice Address - Street 1:210 PAINT FORK RD
Practice Address - Street 2:
Practice Address - City:BARNARDSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28709-9765
Practice Address - Country:US
Practice Address - Phone:828-626-3462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-04
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10252183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist