Individual
MRS. SHANTERRICA CHERELLE LUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10 POPE AVE, HILTON HEAD ISLAND, SC 29928-4719
(843) 785-7786
(843) 785-8963
Mailing address
10 POPE AVE, HILTON HEAD ISLAND, SC 29928-4719
(843) 785-7786
(843) 785-8963
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35733
SD
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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