Individual
JENNIFER NIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29-00 BROADWAY, FAIR LAWN, NJ 07410-3912
(201) 475-8311
Mailing address
29-00 BROADWAY, FAIR LAWN, NJ 07410-3912
(201) 475-8311
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04003000
NJ
183500000X
Pharmacist
4266
NH
Other
Enumeration date
10/27/2016
Last updated
12/29/2020
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