Provider Demographics
NPI:1992709919
Name:SHULER, KATHY KIRBY (RPH, CGP, FASCP)
Entity type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:KIRBY
Last Name:SHULER
Suffix:
Gender:F
Credentials:RPH, CGP, FASCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 CASHUA ST
Mailing Address - Street 2:STE 2
Mailing Address - City:DARLINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29532-3301
Mailing Address - Country:US
Mailing Address - Phone:843-393-6591
Mailing Address - Fax:843-395-8449
Practice Address - Street 1:201 CASHUA ST
Practice Address - Street 2:STE 2
Practice Address - City:DARLINGTON
Practice Address - State:SC
Practice Address - Zip Code:29532-3301
Practice Address - Country:US
Practice Address - Phone:843-393-6591
Practice Address - Fax:843-395-8449
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4547183500000X
SC2681835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
268OtherCCGP
SC4547OtherBOARD OF PHARMACY