Individual
LISA BABIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2655 S BROADWAY AVE, BOISE, ID 83706-4721
(208) 345-8729
Mailing address
865 PREAKNESS DR, EAGLE, ID 83616-4729
(208) 514-5974
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1999
AK
183500000X
Pharmacist
52575
TX
183500000X
Pharmacist
Primary
P6593
ID
183500000X
Pharmacist
PH60302601
WA
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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