IndividualActive
Mason Shields, PHARMD
NPI 1174345706 · Pharmacist · La Grange, KY
Mason Shields, PHARMD is a Pharmacist provider in La Grange, KY (NPI 1174345706).
Provider details
- NPI number
- 1174345706
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 024363 (KY)
Practice location
2034 S Highway 53
La Grange, KY 40031-9598
Phone: (502) 222-2028
Street-level locationGet directions
Mailing address
2034 S Highway 53
La Grange, KY 40031-9598
Registry dates
- Enumerated
- 2024-10-25
- Last updated
- 2024-10-25
- Certified
- 2024-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.