MEDICARE: DR. OMAR SERNA PHARMD

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	46214	TX
2	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	46214	TX

General Provider Information

NPI Number	:	1225353220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OMAR SERNA PHARMD

Provider Business Mailing Address
First Line	:	817 PEDDIE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-4553
Country	:	US
Telephone Number	:	281-501-8643
Fax Number	:

Provider Business Practice Location Address
First Line	:	512 E 11TH ST BLDG A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-7004
Country	:	US
Telephone Number	:	713-869-2225
Fax Number	:	713-869-0088

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

Provider Enumeration Date	:	04/01/2010
Last Update Date	:	04/01/2024

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