MEDICARE: JAMES D BABB RPH

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
1	183500000X	Pharmacist	0202005868	VA

General Provider Information

NPI Number	:	1912909979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES D BABB RPH

Provider Business Mailing Address
First Line	:	3109 DEANS CT
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23321-4500
Country	:	US
Telephone Number	:	757-483-3448
Fax Number	:

Provider Business Practice Location Address
First Line	:	3353 WESTERN BRANCH BLVD
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23321-5105
Country	:	US
Telephone Number	:	757-484-9669
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2005
Last Update Date	:	07/08/2007

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