NPI 1013284744

Peter Shull, PHARMD

Practitioner Pharmacist North Augusta, SC

Practice location

Address: 111 Edgewood Sq, North Augusta, SC 29841-2824
Phone: (803) 279-1190
Mailing address: 622 Lake Forest Rd, Columbia, SC 29209-2578

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 13485 (SC)

Other Pharmacist providers in South Carolina →

Registry record

NPI: 1013284744
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Nov 2011
Record last updated: 23 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.