Provider Demographics
NPI:1710398375
Name:ESCAMILLO, DEBBE KRISTEN (PHARMD)
Entity Type:Individual
Prefix:
First Name:DEBBE
Middle Name:KRISTEN
Last Name:ESCAMILLO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2845 E BECK LN
Mailing Address - Street 2:UNIT 1
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-7983
Mailing Address - Country:US
Mailing Address - Phone:480-773-2801
Mailing Address - Fax:
Practice Address - Street 1:2845 E BECK LN
Practice Address - Street 2:UNIT 1
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-7983
Practice Address - Country:US
Practice Address - Phone:480-773-2801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-16
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS012897183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist