Provider Demographics
NPI:1336867720
Name:SHEARER, RANDALL (PHARMD)
Entity Type:Individual
Prefix:
First Name:RANDALL
Middle Name:
Last Name:SHEARER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:349 MILL HOUSE LN
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-8351
Mailing Address - Country:US
Mailing Address - Phone:716-969-0434
Mailing Address - Fax:
Practice Address - Street 1:8650 ASHEVILLE HWY
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29316-4606
Practice Address - Country:US
Practice Address - Phone:864-578-6243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-22
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC43630183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist