Provider Demographics
NPI:1073854535
Name:ESCANAME, ADELAIDO JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:ADELAIDO
Middle Name:
Last Name:ESCANAME
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 TRENTON RD
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-7705
Mailing Address - Country:US
Mailing Address - Phone:956-618-1889
Mailing Address - Fax:
Practice Address - Street 1:901 TRENTON RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-7705
Practice Address - Country:US
Practice Address - Phone:956-618-1889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-08
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27978183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist