Individual
JASMINE V JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
969 HIGH RIDGE RD, STAMFORD, CT 06905-1608
(203) 322-1520
Mailing address
969 HIGH RIDGE RD, STAMFORD, CT 06905-1608
(203) 322-1520
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0014208
CT
Other
Enumeration date
01/29/2018
Last updated
04/19/2018
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