Individual
STEPHEN JACOBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
75 MAIN ST, DANBURY, CT 06810-7802
(203) 791-0405
(203) 791-9521
Mailing address
75 MAIN ST, DANBURY, CT 06810-7802
(203) 791-0405
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
040168
MO
183500000X
Pharmacist
Primary
PCT.00108067
CT
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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