Individual
DR. KRISTI G. SHOCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2410 REIDVILLE RD, SPARTANBURG, SC 29301-3652
(864) 587-9486
(864) 587-9504
Mailing address
5 RUSTCRAFT DR, GREER, SC 29651-5397
(864) 979-4121
(864) 895-3105
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
008658
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008658
PHARMACIST LICENSE NUMBER
SC
Enumeration date
03/29/2011
Last updated
03/29/2011
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