Provider Demographics
NPI:1639476047
Name:JENKINS, DENNIS SHERWOOD (RPH)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:SHERWOOD
Last Name:JENKINS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 HENDERSONS WAY
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29907-2146
Mailing Address - Country:US
Mailing Address - Phone:843-524-4010
Mailing Address - Fax:
Practice Address - Street 1:18 HENDERSONS WAY
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29907-2146
Practice Address - Country:US
Practice Address - Phone:843-524-4010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-21
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10894183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist