Provider Demographics
NPI:1639190697
Name:SUCCESSION EQUITY GROUP
Entity Type:Organization
Organization Name:SUCCESSION EQUITY GROUP
Other - Org Name:ED'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HANNA
Authorized Official - Middle Name:HOVHANNES
Authorized Official - Last Name:ELCHEMMAS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:281-499-4555
Mailing Address - Street 1:3740 CARTWRIGHT RD
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459
Mailing Address - Country:US
Mailing Address - Phone:281-499-4555
Mailing Address - Fax:281-499-7088
Practice Address - Street 1:3740 CARTWRIGHT RD
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459
Practice Address - Country:US
Practice Address - Phone:281-499-4555
Practice Address - Fax:281-499-7088
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUCCESSION EQUITY GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-22
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4575493OtherNCPDP PROVIDER IDENTIFICATION NUMBER