Provider Demographics
NPI:1205937828
Name:JENRETTE, DOROTHY E (PHARMD)
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:E
Last Name:JENRETTE
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 1:2661 DANIELS POINTE BLVD
Mailing Address - Street 2:
Mailing Address - City:MT. PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466
Mailing Address - Country:US
Mailing Address - Phone:843-849-9376
Mailing Address - Fax:843-805-5965
Practice Address - Street 1:109 BEE STREET
Practice Address - Street 2:PHARMACY SERVICE (119)
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29401
Practice Address - Country:US
Practice Address - Phone:843-789-7973
Practice Address - Fax:843-805-5965
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0080281835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy