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Individual

MR. GREGORY SAMUEL LULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
721 N OKATIE HWY # 170, RIDGELAND, SC 29936-8276
(843) 304-1666
(843) 987-0023
Mailing address
55 E MORGAN CT, HILTON HEAD ISLAND, SC 29926-2052
(843) 304-1666

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
17522
NC
183500000X
Pharmacist
26013139A
IN
183500000X
Pharmacist
49203
TX
183500000X
Pharmacist
Primary
9775
SC
183500000X
Pharmacist
PCT0005692
CT
183500000X
Pharmacist
RPH021123
GA

Other

Enumeration date
10/18/2010
Last updated
10/09/2013
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