MEDICARE: SECHANZ ENTERPRISES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	30004	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2152568	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487036687
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SECHANZ ENTERPRISES INC

Provider Business Mailing Address
First Line	:	6306 MEADOWBROOK DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112
Country	:	US
Telephone Number	:	817-888-3132
Fax Number	:	817-888-3134

Provider Business Practice Location Address
First Line	:	6306 MEADOWBROOK DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112-5121
Country	:	US
Telephone Number	:	817-888-3132
Fax Number	:	817-888-3134

Authorized Official
Title or Position	:	OWNER
Name	:	ALEXANDER NWANKPA
Credential	:
Telephone Number	:	817-888-3132

Provider Enumeration Date	:	06/24/2015
Last Update Date	:	08/23/2016

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Directions to “SECHANZ ENTERPRISES INC ” Practice Location

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