Healthcare Provider Details

I. General information

NPI: 1477880086
Provider Name (Legal Business Name): LOUIS E ESQUIVEL PHARMD.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2009
Last Update Date: 09/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8364 ROVANA CIR
SACRAMENTO CA
95828-2522
US

IV. Provider business mailing address

8364 ROVANA CIR
SACRAMENTO CA
95828-2522
US

V. Phone/Fax

Practice location:
  • Phone: 916-379-1664
  • Fax:
Mailing address:
  • Phone: 916-379-1664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH31897
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: