Provider Demographics
NPI:1336595180
Name:DURKIN, JAMIE (PHARM-D)
Entity type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:
Last Name:DURKIN
Suffix:
Gender:
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 1:2595 MAIN ST STE 1
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06615-5855
Mailing Address - Country:US
Mailing Address - Phone:203-345-0404
Mailing Address - Fax:800-482-6954
Practice Address - Street 1:2595 MAIN ST STE 1
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06615-5855
Practice Address - Country:US
Practice Address - Phone:203-345-0404
Practice Address - Fax:800-482-6954
Is Sole Proprietor?:No
Enumeration Date:2016-05-11
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT9939183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist