Provider Demographics
NPI:1073979266
Name:SAKKAL, OMAR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:OMAR
Middle Name:
Last Name:SAKKAL
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 1:102 BEAVER TAIL PT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-6233
Mailing Address - Country:US
Mailing Address - Phone:832-724-3740
Mailing Address - Fax:713-861-4745
Practice Address - Street 1:1430 PASADENA BLVD STE X
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77502-2414
Practice Address - Country:US
Practice Address - Phone:832-740-4171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-05
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43561183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist