Provider Demographics
NPI:1801863758
Name:BOBINMYER-HORNECKER, JAIME ROSE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAIME
Middle Name:ROSE
Last Name:BOBINMYER-HORNECKER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:JAIME
Other - Middle Name:ROSE
Other - Last Name:HORNECKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:12590 GARBUTT RD
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82604-9414
Mailing Address - Country:US
Mailing Address - Phone:307-233-6000
Mailing Address - Fax:307-473-1284
Practice Address - Street 1:1522 E A ST
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-2217
Practice Address - Country:US
Practice Address - Phone:307-233-6000
Practice Address - Fax:307-473-1284
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY2984183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist