Provider Demographics
NPI:1861800450
Name:BABB, ANDREA ALLISON (PHARMD)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:ALLISON
Last Name:BABB
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2534 SW 13TH CT
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-7416
Mailing Address - Country:US
Mailing Address - Phone:561-859-6020
Mailing Address - Fax:
Practice Address - Street 1:2041 GEORGIA AVE NW FL 1
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20060-4261
Practice Address - Country:US
Practice Address - Phone:202-865-2783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH10002971183500000X
FLPSI 31581390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes183500000XPharmacy Service ProvidersPharmacist