Provider Demographics
NPI:1194861708
Name:BABBITT DRUG INC
Entity Type:Organization
Organization Name:BABBITT DRUG INC
Other - Org Name:BABBITT DRUG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:JAEGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-827-2137
Mailing Address - Street 1:43 CENTRAL BLVD
Mailing Address - Street 2:
Mailing Address - City:BABBITT
Mailing Address - State:MN
Mailing Address - Zip Code:55706-1129
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:43 CENTRAL BLVD
Practice Address - Street 2:
Practice Address - City:BABBITT
Practice Address - State:MN
Practice Address - Zip Code:55706-1129
Practice Address - Country:US
Practice Address - Phone:218-827-2137
Practice Address - Fax:281-827-2137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
MN26069103336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2403436OtherOTHER ID NUMBER
2403436OtherOTHER ID NUMBER-COMMERCIAL NUMBER