Provider Demographics
NPI:1518240837
Name:BOND, JAIME DANIELLE (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:JAIME
Middle Name:DANIELLE
Last Name:BOND
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 1:10662 BONCHESTER HILL ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89141-3899
Mailing Address - Country:US
Mailing Address - Phone:702-260-4364
Mailing Address - Fax:
Practice Address - Street 1:101 E LAKE MEAD PKWY
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89015-5532
Practice Address - Country:US
Practice Address - Phone:702-566-9706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-22
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV16497183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist