Provider Demographics
NPI:1952509077
Name:KENDRICK, CHERYL DENISE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:DENISE
Last Name:KENDRICK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 MAGNOLIA ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-2007
Mailing Address - Country:US
Mailing Address - Phone:336-312-0275
Mailing Address - Fax:336-854-5512
Practice Address - Street 1:608 MAGNOLIA ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-2007
Practice Address - Country:US
Practice Address - Phone:336-312-0275
Practice Address - Fax:336-854-5512
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8114183500000X
VA0202206444183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist