Individual
PETER SHULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
111 EDGEWOOD SQ, NORTH AUGUSTA, SC 29841-2824
(803) 279-1190
Mailing address
622 LAKE FOREST RD, COLUMBIA, SC 29209-2578
(706) 294-3231
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13485
SC
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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