Provider Demographics
NPI:1750670725
Name:SHKLYAR, LILIANA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:LILIANA
Middle Name:
Last Name:SHKLYAR
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 HIGHWAY 17 N
Mailing Address - Street 2:
Mailing Address - City:SURFSIDE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29575-6035
Mailing Address - Country:US
Mailing Address - Phone:843-238-5169
Mailing Address - Fax:843-828-0135
Practice Address - Street 1:118 HIGHWAY 17 N
Practice Address - Street 2:
Practice Address - City:SURFSIDE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29575-6035
Practice Address - Country:US
Practice Address - Phone:843-238-5169
Practice Address - Fax:843-828-0135
Is Sole Proprietor?:No
Enumeration Date:2011-03-30
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC011665183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist