MEDICARE: SHAWN PATRICK SLUSS PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	13715	SC

General Provider Information

NPI Number	:	1649014689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAWN PATRICK SLUSS PHARMD

Provider Business Mailing Address
First Line	:	1598 HATTERAS SOUND
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-9700
Country	:	US
Telephone Number	:	508-397-7895
Fax Number	:

Provider Business Practice Location Address
First Line	:	8950 UNIVERSITY BLVD STE 100
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-9891
Country	:	US
Telephone Number	:	843-402-1321
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2024
Last Update Date	:	06/24/2024

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