Healthcare Provider Details

I. General information

NPI: 1851905962
Provider Name (Legal Business Name): MAGGY ESKAROS RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2020
Last Update Date: 09/04/2020
Certification Date: 09/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8580 WHITTIER BLVD
PICO RIVERA CA
90660-2520
US

IV. Provider business mailing address

8826 SYCAMORE AVE
WESTMINSTER CA
92683-5497
US

V. Phone/Fax

Practice location:
  • Phone: 562-942-2268
  • Fax:
Mailing address:
  • Phone: 714-606-3556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number72752
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: