Healthcare Provider Details

I. General information

NPI: 1144352717
Provider Name (Legal Business Name): LUENEATHER MICHELLE CAKLEY PHARM. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

166 STONERIDGE DR
COLUMBIA SC
29210-8239
US

IV. Provider business mailing address

717 SHADOW MIST LN
COLUMBIA SC
29210-5020
US

V. Phone/Fax

Practice location:
  • Phone: 803-461-3709
  • Fax:
Mailing address:
  • Phone: 803-798-6262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number010040
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number010040
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: