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Virginia Jimenez, PHARMD
Student in an Organized Health Care Education/Training Program in Mishawaka, Indiana
NPI 1962852285

Virginia Jimenez is a Student in an Organized Health Care Education/Training Program based in South Bend, IN. Virginia Jimenez practices in Mishawaka, IN and has the professional credentials of PHARMD. The NPI Number for Virginia Jimenez is 1962852285 and holds a License No. (Indiana).

The current practice location address for Virginia Jimenez is 5215 Holy Cross Pkwy, Mishawaka, IN and can be reached out via phone at 574-335-3110 and via fax at 574-948-5461. You can also correspond with Virginia Jimenez through the mailing address at 707 E CEDAR ST, SOUTH BEND, IN - 46617-2057 (mailing address contact number: 574-335-8700).

Location: 5215 Holy Cross Pkwy, Mishawaka, IN, 46617-2057
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962852285
Provider Name
Virginia Jimenez
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
5215 Holy Cross Pkwy, Mishawaka, IN, 46617-2057
Phone Number
574-335-3110
Fax Number
574-948-5461
Provider Enumeration Date
06/17/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
45019860A 01 IN PHARMACY INTERN LICENSE
institution
Provider Business Practice Location Address Details
Address
5215 Holy Cross Pkwy
City
Mishawaka
State
Indiana
Zip
46545-1469
Phone Number
574-335-3110
Fax Number
574-948-5461
person
Provider Business Mailing Address Details
Address
707 E Cedar St
City
South Bend
State
Indiana
Zip
46617-2057
Phone Number
574-335-8700
Fax Number
574-335-0741
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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