Provider Demographics
NPI:1285388454
Name:ESCOBAR, EMMANUEL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:EMMANUEL
Middle Name:
Last Name:ESCOBAR
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1523 URBINO AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-1929
Mailing Address - Country:US
Mailing Address - Phone:786-302-1040
Mailing Address - Fax:
Practice Address - Street 1:6701 MILLER DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-5721
Practice Address - Country:US
Practice Address - Phone:786-364-9950
Practice Address - Fax:305-668-5726
Is Sole Proprietor?:No
Enumeration Date:2022-02-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL63647183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist