Jimenez, Humberto Rafael

Jimenez, Humberto Rafael is an individual health care provider with primary practice located at 111 Central Ave Pharmacy Department, Newark NJ 07102-1909. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Jimenez, Humberto Rafael can be contacted via phone (973) 877-5458.

Contact Information

Primary practice address
111 Central Ave Pharmacy Department Newark NJ 07102-1909
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 02864900 New Jersey

Profile Details

NPI number 1275704496
LBN Legal business name Jimenez, Humberto Rafael
Credentials PHARM.D., BCPS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2008
Last updated Mar 15th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275704496 NPPES
New Jersey Other 02864900 PHARMACIST

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