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Individual
MARC BABCOCK
Active
Individual
MARC BABCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16909
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO16909
COLORADO LISC NUMBER
CO
Enumeration date
07/30/2014
Last updated
07/30/2014
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