Provider Demographics
NPI:1376944975
Name:SIKORA, SAMEER (PHARMD)
Entity Type:Individual
Prefix:
First Name:SAMEER
Middle Name:
Last Name:SIKORA
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 1:6607 BRODIE LN
Mailing Address - Street 2:APT 1114
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-4658
Mailing Address - Country:US
Mailing Address - Phone:909-226-5042
Mailing Address - Fax:
Practice Address - Street 1:6607 BRODIE LN
Practice Address - Street 2:APT 1114
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-4658
Practice Address - Country:US
Practice Address - Phone:909-226-5042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-15
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL51294946183500000X
CA64538183500000X
TX52637183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist