Provider Demographics
NPI:1487036687
Name:SECHANZ ENTERPRISES INC
Entity Type:Organization
Organization Name:SECHANZ ENTERPRISES INC
Other - Org Name:HOVIC PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:NWANKPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-888-3132
Mailing Address - Street 1:6306 MEADOWBROOK DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76112
Mailing Address - Country:US
Mailing Address - Phone:817-888-3132
Mailing Address - Fax:817-888-3134
Practice Address - Street 1:6306 MEADOWBROOK DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76112-5121
Practice Address - Country:US
Practice Address - Phone:817-888-3132
Practice Address - Fax:817-888-3134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-24
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX300043336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2152568OtherPK
TX148298Medicaid