Provider Demographics
NPI:1528217387
Name:BABILONIA, MARCOS ANTHONY (RPH)
Entity Type:Individual
Prefix:MR
First Name:MARCOS
Middle Name:ANTHONY
Last Name:BABILONIA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 NEWTON ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01075-2017
Mailing Address - Country:US
Mailing Address - Phone:413-534-1766
Mailing Address - Fax:
Practice Address - Street 1:501 NEWTON ST
Practice Address - Street 2:
Practice Address - City:SOUTH HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01075-2017
Practice Address - Country:US
Practice Address - Phone:413-534-1766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-16
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA204181835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist