Healthcare Provider Details

I. General information

NPI: 1306420286
Provider Name (Legal Business Name): EVA GUADALUPE ESCOBEDO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2021
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N MOONEY BLVD
TULARE CA
93274-2417
US

IV. Provider business mailing address

400 W MINERAL KING AVE
VISALIA CA
93291-6237
US

V. Phone/Fax

Practice location:
  • Phone: 559-685-7100
  • Fax: 559-624-6590
Mailing address:
  • Phone: 559-624-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberRPH82809
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: