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NPI Code Detail

MEDICARE: SARA E. BABCOCK PHARMD

MEDICARE: SARA E. BABCOCK PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist6453WV

General Provider Information

NPI Number : 1073723102
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA E. BABCOCK PHARMD
Provider Business Mailing Address
First Line : HC 65 BOX 356-A
Second Line :
City : TORNADO
State : WV
Zip : 25202-9740
Country : US
Telephone Number : 304-727-5404
Fax Number :
Provider Business Practice Location Address
First Line : 3109 TEAYS VALLEY RD
Second Line :
City : HURRICANE
State : WV
Zip : 25526-1318
Country : US
Telephone Number : 304-562-2677
Fax Number : 304-562-0629
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 07/08/2007

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