Provider Demographics
NPI:1437216934
Name:SALMON, JAIME L (PHARMD, RPH, CDM)
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:L
Last Name:SALMON
Suffix:
Gender:F
Credentials:PHARMD, RPH, CDM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1784 W 12600 S
Mailing Address - Street 2:
Mailing Address - City:RIVERTON
Mailing Address - State:UT
Mailing Address - Zip Code:84065-7025
Mailing Address - Country:US
Mailing Address - Phone:801-254-0198
Mailing Address - Fax:
Practice Address - Street 1:1784 W 12600 S
Practice Address - Street 2:
Practice Address - City:RIVERTON
Practice Address - State:UT
Practice Address - Zip Code:84065-7025
Practice Address - Country:US
Practice Address - Phone:801-254-0198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ13351183500000X
UT71870776-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist