Individual
MARC BABCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM
Contact information
Practice address
3275 W COLORADO AVE, COLORADO SPRINGS, CO 80904-1905
(719) 473-6446
(719) 473-8178
Mailing address
3275 W COLORADO AVE, COLORADO SPRINGS, CO 80904-1905
(719) 473-6446
(719) 473-8178
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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