Provider Demographics
NPI:1124177084
Name:HIDALGO, SARITA ESQUIVEL
Entity type:Individual
Prefix:MRS
First Name:SARITA
Middle Name:ESQUIVEL
Last Name:HIDALGO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-4809
Mailing Address - Country:US
Mailing Address - Phone:805-922-1979
Mailing Address - Fax:805-928-0713
Practice Address - Street 1:1430 E MAIN ST
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-4809
Practice Address - Country:US
Practice Address - Phone:805-922-1979
Practice Address - Fax:805-928-0713
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CATCH54849183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician