Provider Demographics
NPI:1194025700
Name:SMITH, JAIME JO (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:JAIME
Middle Name:JO
Last Name:SMITH
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22962 E SMOKY HILL RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-1382
Mailing Address - Country:US
Mailing Address - Phone:720-353-4212
Mailing Address - Fax:720-353-4331
Practice Address - Street 1:22962 E SMOKY HILL RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-1382
Practice Address - Country:US
Practice Address - Phone:720-353-4212
Practice Address - Fax:720-353-4331
Is Sole Proprietor?:No
Enumeration Date:2010-10-28
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17390183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist