Provider Demographics
NPI:1568067486
Name:ABDUREHMAN, OMER ALKADER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:OMER
Middle Name:ALKADER
Last Name:ABDUREHMAN
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 1:934 E IRVING BLVD
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75060-3150
Mailing Address - Country:US
Mailing Address - Phone:972-579-0211
Mailing Address - Fax:972-554-0066
Practice Address - Street 1:934 E IRVING BLVD
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75060-3150
Practice Address - Country:US
Practice Address - Phone:972-579-0211
Practice Address - Fax:972-554-0066
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
TX59844183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist