Provider Demographics
NPI:1013318674
Name:PINKERTON, JEANITA DUNLAP (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:JEANITA
Middle Name:DUNLAP
Last Name:PINKERTON
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 1:7412 BROAD RIVER RD
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-9662
Mailing Address - Country:US
Mailing Address - Phone:803-749-3046
Mailing Address - Fax:
Practice Address - Street 1:7412 BROAD RIVER RD
Practice Address - Street 2:
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063-9662
Practice Address - Country:US
Practice Address - Phone:803-749-3046
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-12
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC35804183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist