Provider Demographics
NPI:1659170116
Name:SHULER, XAVIER DAJUAN (PHARMD)
Entity type:Individual
Prefix:
First Name:XAVIER
Middle Name:DAJUAN
Last Name:SHULER
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2504 OVERLOOK CREEK WAY APT 201
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-3335
Mailing Address - Country:US
Mailing Address - Phone:803-439-5215
Mailing Address - Fax:
Practice Address - Street 1:2411 LANDMARK DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-6524
Practice Address - Country:US
Practice Address - Phone:919-788-4203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC33500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist