Individual
IAN M SHULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4600 MAIN ST STE 2, SHALLOTTE, NC 28470-1899
(910) 754-7570
(910) 754-4828
Mailing address
4600 MAIN ST STE 2, SHALLOTTE, NC 28470-1899
(910) 754-7570
(910) 754-4828
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21421
NC
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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