Provider Demographics
NPI:1134328388
Name:TRENOR, JANE MOORE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:JANE
Middle Name:MOORE
Last Name:TRENOR
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 1:9616 HIGHWAY 78
Mailing Address - Street 2:
Mailing Address - City:LADSON
Mailing Address - State:SC
Mailing Address - Zip Code:29456
Mailing Address - Country:US
Mailing Address - Phone:843-797-8510
Mailing Address - Fax:843-797-0128
Practice Address - Street 1:9616 HIGHWAY 78
Practice Address - Street 2:
Practice Address - City:LADSON
Practice Address - State:SC
Practice Address - Zip Code:29456-3501
Practice Address - Country:US
Practice Address - Phone:843-797-8510
Practice Address - Fax:843-797-0128
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6113183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist