=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073240362
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CARLOS AUGUSTO ESCOBAR PHARMD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/05/2022
-----------------------------------------------------
Last Update Date | 09/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2323 CHURN CREEK RD UNIT 492142
-----------------------------------------------------
City | REDDING
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 96049-5329
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 424-205-4293
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2323 CHURN CREEK RD UNIT 492142
-----------------------------------------------------
City | REDDING
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 96049-5329
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 530-224-1437
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 86371
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------