Provider Demographics
NPI:1336595180
Name:DURKIN, JAMIE (PHARM-D)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:
Last Name:DURKIN
Suffix:
Gender:M
Credentials:PHARM-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 PERSHING DR
Mailing Address - Street 2:
Mailing Address - City:ANSONIA
Mailing Address - State:CT
Mailing Address - Zip Code:06401-2214
Mailing Address - Country:US
Mailing Address - Phone:203-735-7837
Mailing Address - Fax:203-735-3080
Practice Address - Street 1:24 PERSHING DR
Practice Address - Street 2:
Practice Address - City:ANSONIA
Practice Address - State:CT
Practice Address - Zip Code:06401-2214
Practice Address - Country:US
Practice Address - Phone:203-735-7837
Practice Address - Fax:203-735-3080
Is Sole Proprietor?:No
Enumeration Date:2016-05-11
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT9939183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist