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NPI Code Detail

MEDICARE: SUCCESSION EQUITY GROUP

MEDICARE: SUCCESSION EQUITY GROUP
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
13336C0003XCommunity/Retail Pharmacy
23336L0003XLong Term Care Pharmacy
3333600000XPharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14575493OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1639190697
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUCCESSION EQUITY GROUP
Provider Business Mailing Address
First Line : 3740 CARTWRIGHT RD
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459
Country : US
Telephone Number : 281-499-4555
Fax Number : 281-499-7088
Provider Business Practice Location Address
First Line : 3740 CARTWRIGHT RD
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459
Country : US
Telephone Number : 281-499-4555
Fax Number : 281-499-7088
Authorized Official
Title or Position : OWNER
Name : MR. HANNA HOVHANNES ELCHEMMAS
Credential : PHARMD
Telephone Number : 281-499-4555
Provider Enumeration Date : 07/22/2006
Last Update Date : 10/14/2021

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Directions to “SUCCESSION EQUITY GROUP ” Practice Location

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