MEDICARE: DR. AMAR KISHAN THAKRAR M.B.A. PHARM D.

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
1	183500000X	Pharmacist	52732	TX

General Provider Information

NPI Number	:	1487996757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMAR KISHAN THAKRAR M.B.A. PHARM D.

Provider Business Mailing Address
First Line	:	PO BOX 2735
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75034-0051
Country	:	US
Telephone Number	:	972-707-8248
Fax Number	:

Provider Business Practice Location Address
First Line	:	2701 S HAMPTON RD STE 100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75224-2368
Country	:	US
Telephone Number	:	972-707-8248
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2013
Last Update Date	:	08/11/2022

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