Provider Demographics
NPI:1386738797
Name:BABI PHARMACEUTICAL SERVICES INC
Entity type:Organization
Organization Name:BABI PHARMACEUTICAL SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MGR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:DURO-EMANUEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-258-9171
Mailing Address - Street 1:968 ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32114-4667
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:968 ORANGE AVE
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-4667
Practice Address - Country:US
Practice Address - Phone:386-258-8171
Practice Address - Fax:386-258-8133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
FLPH192963336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL026382600Medicaid
1072280OtherNCPDP PROVIDER IDENTIFICATION NUMBER
FL026382601Medicaid
5689950001Medicare NSC