Provider Demographics
NPI:1336371624
Name:HENRIKSON, SHERRI GREENE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SHERRI
Middle Name:GREENE
Last Name:HENRIKSON
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 1:110 NNPTC CIRCLE
Mailing Address - Street 2:
Mailing Address - City:GOOSE CREEK
Mailing Address - State:SC
Mailing Address - Zip Code:29445-7747
Mailing Address - Country:US
Mailing Address - Phone:843-794-6149
Mailing Address - Fax:843-794-6996
Practice Address - Street 1:110 NNPTC CIRCLE
Practice Address - Street 2:
Practice Address - City:GOOSE CREEK
Practice Address - State:SC
Practice Address - Zip Code:29445-7747
Practice Address - Country:US
Practice Address - Phone:843-794-6149
Practice Address - Fax:843-794-6996
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC008944183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist