Organization
STRATFORD APOTHECARY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN K JACOB PHARM. D. (CEO)
(203) 378-9394
Entity
Organization
Contact information
Practice address
1030 BARNUM AVE, STRATFORD, CT 06614-4985
(203) 378-9394
(203) 375-8651
Mailing address
1030 BARNUM AVE, STRATFORD, CT 06614-4985
(203) 378-9394
(203) 375-8651
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
09/23/2024
Last updated
08/21/2025
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