Provider Demographics
NPI:1033832258
Name:STAMFORD APOTHECARY LLC
Entity Type:Organization
Organization Name:STAMFORD APOTHECARY LLC
Other - Org Name:CHELSEA PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:GINN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH,
Authorized Official - Phone:972-905-5504
Mailing Address - Street 1:3115 W PARKER RD STE 395
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-8139
Mailing Address - Country:US
Mailing Address - Phone:972-905-5504
Mailing Address - Fax:972-212-7191
Practice Address - Street 1:3115 W PARKER RD STE 395
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-8139
Practice Address - Country:US
Practice Address - Phone:972-905-5504
Practice Address - Fax:972-212-7191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-22
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy