Provider Demographics
NPI:1649014689
Name:SLUSS, SHAWN PATRICK (PHARMD)
Entity type:Individual
Prefix:
First Name:SHAWN
Middle Name:PATRICK
Last Name:SLUSS
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 1:1598 HATTERAS SOUND
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-9700
Mailing Address - Country:US
Mailing Address - Phone:508-397-7895
Mailing Address - Fax:
Practice Address - Street 1:8950 UNIVERSITY BLVD STE 100
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9891
Practice Address - Country:US
Practice Address - Phone:843-402-1321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13715183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist