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NPI Code Detail

MEDICARE: DR. JAIME ROSE BOBINMYER-HORNECKER PHARM.D.

MEDICARE: DR. JAIME ROSE BOBINMYER-HORNECKER PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist2984WY

General Provider Information

NPI Number : 1801863758
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAIME ROSE BOBINMYER-HORNECKER PHARM.D.
Provider Business Mailing Address
First Line : 12590 GARBUTT RD
Second Line :
City : CASPER
State : WY
Zip : 82604-9414
Country : US
Telephone Number : 307-233-6000
Fax Number : 307-473-1284
Provider Business Practice Location Address
First Line : 1522 E A ST
Second Line :
City : CASPER
State : WY
Zip : 82601-2217
Country : US
Telephone Number : 307-233-6000
Fax Number : 307-473-1284
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 07/08/2007

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