Basic Information
| Provider Information | |||||||||
| NPI: | 1992709919 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SHULER | ||||||||
| FirstName: | KATHY | ||||||||
| MiddleName: | KIRBY | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RPH, CGP, FASCP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 201 CASHUA ST | ||||||||
| Address2: | STE 2 | ||||||||
| City: | DARLINGTON | ||||||||
| State: | SC | ||||||||
| PostalCode: | 295323301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8433936591 | ||||||||
| FaxNumber: | 8433958449 | ||||||||
| Practice Location | |||||||||
| Address1: | 201 CASHUA ST | ||||||||
| Address2: | STE 2 | ||||||||
| City: | DARLINGTON | ||||||||
| State: | SC | ||||||||
| PostalCode: | 295323301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8433936591 | ||||||||
| FaxNumber: | 8433958449 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 4547 | SC | X | Pharmacy Service Providers | Pharmacist | 1835P1200X | 268 | SC | X | Pharmacy Service Providers | Pharmacist | Pharmacotherapy |
ID Information
| ID | Type | State | Issuer | Description | 268 | 01 | CCGP | OTHER | 4547 | 01 | SC | BOARD OF PHARMACY | OTHER |