Provider Demographics
NPI:1891419404
Name:BABINEC, BENJAMIN E (RPH)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:E
Last Name:BABINEC
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 1:7401 ZEPHYR PL APT 2E
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63143-2027
Mailing Address - Country:US
Mailing Address - Phone:224-422-8525
Mailing Address - Fax:
Practice Address - Street 1:9070 SAINT CHARLES ROCK RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63114-4246
Practice Address - Country:US
Practice Address - Phone:314-733-0607
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-27
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021033770183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist