Provider Demographics
NPI:1487996757
Name:THAKRAR, AMAR KISHAN (MBA PHARM D)
Entity type:Individual
Prefix:DR
First Name:AMAR
Middle Name:KISHAN
Last Name:THAKRAR
Suffix:
Gender:M
Credentials:MBA PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2735
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-0051
Mailing Address - Country:US
Mailing Address - Phone:972-707-8248
Mailing Address - Fax:
Practice Address - Street 1:2701 S HAMPTON RD STE 100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75224-2368
Practice Address - Country:US
Practice Address - Phone:972-707-8248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-25
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX52732183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist