Individual
SHAD J SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4412 SPRUILL AVE STE C, NORTH CHARLESTON, SC 29405-4787
(843) 806-1299
Mailing address
4412 SPRUILL AVE STE C, NORTH CHARLESTON, SC 29405-4787
(404) 824-0187
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
018449
KY
183500000X
Pharmacist
Primary
44281
SC
Other
Enumeration date
01/20/2021
Last updated
06/20/2025
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