Provider Demographics
NPI:1578331948
Name:JAIME, RENEE JEAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:JEAN
Last Name:JAIME
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 PATTEE RD
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-4539
Mailing Address - Country:US
Mailing Address - Phone:603-421-7622
Mailing Address - Fax:
Practice Address - Street 1:10 PATTEE RD
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-4539
Practice Address - Country:US
Practice Address - Phone:603-421-7622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-15
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHR1850183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist