Provider Demographics
NPI:1528663499
Name:KHOKHAR, OMAR WAQAS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:OMAR
Middle Name:WAQAS
Last Name:KHOKHAR
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 1:10110 S HIGHWAY 6
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-4938
Mailing Address - Country:US
Mailing Address - Phone:281-988-1952
Mailing Address - Fax:
Practice Address - Street 1:10110 S HIGHWAY 6
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-4938
Practice Address - Country:US
Practice Address - Phone:281-988-1952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63574183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist