Healthcare Provider Details

I. General information

NPI: 1962797183
Provider Name (Legal Business Name): LINDA MARIE ESCALERA PHARMD.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2011
Last Update Date: 06/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 SW 44TH ST T0044
OKLAHOMA CITY OK
73109-3424
US

IV. Provider business mailing address

800 SW 44TH ST T0044
OKLAHOMA CITY OK
73109-3424
US

V. Phone/Fax

Practice location:
  • Phone: 405-632-4964
  • Fax: 405-632-4964
Mailing address:
  • Phone: 405-632-4964
  • Fax: 405-632-4964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number13957
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: