Individual
DIIS A OMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2140 E CAMPBELL RD, RICHARDSON, TX 75081-2027
(972) 889-9100
Mailing address
4036 ESTERS RD, APT 2024, IRVING, TX 75038-6740
(469) 831-1817
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
50648
TX
Other
Enumeration date
09/24/2011
Last updated
09/24/2011
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