Individual provider · NPI-1

Dr. Jaime Lynn Cantu, PharmD

Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Fort Meade, SD

NPI number1760974034
StatusActive
Last updated in NPPESDec 12, 2024

Details

NPI
1760974034
Entity type
Individual (NPI-1)
Name
Dr. Jaime Lynn Cantu
Credential
PharmD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 3, 2018
Certification date
Dec 12, 2024
Last updated
Dec 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist4002WYYes
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistR-6639SD
183500000X Pharmacist4002WY

Other names

  • Jaime Lynn Shipley (Former Name)

Practice location

113 Comanche Rd
Fort Meade, SD 57741-1002

Phone 605-347-2511

Mailing address

602 S Garden St
Hot Springs, SD 57747-2202

Phone 307-315-7571

Other practice locations

500 N 5th St
Hot Springs, SD 57747-1480

Phone 605-745-2169

1201 Sd-71
Hot Springs, SD 57747

Phone 605-745-2425

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