Individual
RUBI JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 CHASE AVE, WATERBURY, CT 06704-2237
(203) 916-2888
Mailing address
2778 E MAIN ST, WATERBURY, CT 06705-2839
(203) 916-2888
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0015305
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09081989
—
CT
Enumeration date
12/16/2020
Last updated
12/16/2020
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