Provider Demographics
NPI:1639473184
Name:CASKEY, JAMIE LYN (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:JAMIE
Middle Name:LYN
Last Name:CASKEY
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 1:4767 NONOU RD APT B
Mailing Address - Street 2:
Mailing Address - City:KAPAA
Mailing Address - State:HI
Mailing Address - Zip Code:96746-3318
Mailing Address - Country:US
Mailing Address - Phone:843-290-8067
Mailing Address - Fax:
Practice Address - Street 1:4-831 KUHIO HWY.
Practice Address - Street 2:SAFEWAY
Practice Address - City:KAPAA
Practice Address - State:HI
Practice Address - Zip Code:96746-3318
Practice Address - Country:US
Practice Address - Phone:808-822-2191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-27
Last Update Date:2010-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2681183500000X
GARPH023895183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist