Provider Demographics
NPI:1437318748
Name:BABYTALK STORE LLC
Entity Type:Organization
Organization Name:BABYTALK STORE LLC
Other - Org Name:BABYTALK
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:COVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-333-1594
Mailing Address - Street 1:933 MCFARLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35476-3374
Mailing Address - Country:US
Mailing Address - Phone:205-333-1594
Mailing Address - Fax:205-330-8281
Practice Address - Street 1:933 MCFARLAND BLVD
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35476-3374
Practice Address - Country:US
Practice Address - Phone:205-333-1594
Practice Address - Fax:205-330-8281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-03
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51098623OtherBLUE CROSS BLUE SHIELD OF ALABAMA