Provider Demographics
NPI:1144352717
Name:CAKLEY, LUENEATHER MICHELLE (PHARM D)
Entity type:Individual
Prefix:MRS
First Name:LUENEATHER
Middle Name:MICHELLE
Last Name:CAKLEY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 SHADOW MIST LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-5020
Mailing Address - Country:US
Mailing Address - Phone:803-798-6262
Mailing Address - Fax:
Practice Address - Street 1:166 STONERIDGE DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-8239
Practice Address - Country:US
Practice Address - Phone:803-461-3709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC010040183500000X, 1835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835X0200XPharmacy Service ProvidersPharmacistOncology