Provider Demographics
NPI:1144437708
Name:BABCOCK, CHARLES K (PHARM D, RPH)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:K
Last Name:BABCOCK
Suffix:
Gender:M
Credentials:PHARM D, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 WHIT COLL RD
Mailing Address - Street 2:
Mailing Address - City:TORNADO
Mailing Address - State:WV
Mailing Address - Zip Code:25202-8097
Mailing Address - Country:US
Mailing Address - Phone:304-727-5404
Mailing Address - Fax:
Practice Address - Street 1:3100 MACCORKLE AVE SE STE 700
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-1230
Practice Address - Country:US
Practice Address - Phone:304-351-1526
Practice Address - Fax:304-351-1510
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-25417183500000X
WVRP0006452183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist