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NPI Code Detail

MEDICARE: ANDY ESCOBEDO

MEDICARE:   ANDY  ESCOBEDO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist21100OK

General Provider Information

NPI Number : 1326975301
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDY ESCOBEDO
Provider Business Mailing Address
First Line : 9900 S MAY AVE APT 317
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73159-9007
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 NE 13TH ST STE 3840
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5040
Country : US
Telephone Number : 572-244-6201
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2026
Last Update Date : 05/05/2026

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Directions to “ ANDY ESCOBEDO ” Practice Location

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