Provider Demographics
NPI:1063718575
Name:SHULER, THOMAS M JR (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:M
Last Name:SHULER
Suffix:JR
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11933 HARMON LN
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28134-9239
Mailing Address - Country:US
Mailing Address - Phone:704-540-4830
Mailing Address - Fax:
Practice Address - Street 1:11933 HARMON LN
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28134-9239
Practice Address - Country:US
Practice Address - Phone:704-540-4830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-31
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5109183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist