Provider Demographics
NPI:1407915259
Name:SUMEC CORPORATION
Entity Type:Organization
Organization Name:SUMEC CORPORATION
Other - Org Name:PARK PLAZA PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDISON
Authorized Official - Middle Name:U
Authorized Official - Last Name:ASONYE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:713-524-2828
Mailing Address - Street 1:1213 HERMANN DR
Mailing Address - Street 2:SUITE 140
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7018
Mailing Address - Country:US
Mailing Address - Phone:713-524-2828
Mailing Address - Fax:713-524-9809
Practice Address - Street 1:1213 HERMANN DR
Practice Address - Street 2:SUITE 140
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7018
Practice Address - Country:US
Practice Address - Phone:713-524-2828
Practice Address - Fax:713-524-9809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-07
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX144979Medicaid
4573247OtherNABP