Provider Demographics
NPI:1427651942
Name:PIMENTEL, VINICIUS C (PHARMD)
Entity type:Individual
Prefix:DR
First Name:VINICIUS
Middle Name:C
Last Name:PIMENTEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:438 DARTMOUTH ST
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-1115
Mailing Address - Country:US
Mailing Address - Phone:508-996-5090
Mailing Address - Fax:508-999-3699
Practice Address - Street 1:438 DARTMOUTH ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-1115
Practice Address - Country:US
Practice Address - Phone:508-996-5090
Practice Address - Fax:508-999-3699
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH236841183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist