MEDICARE: SEMA PHARM LLC

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	3336C0003X	Community/Retail Pharmacy	5301010561	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2148037	OTHER		PK

General Provider Information

NPI Number	:	1417065889
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEMA PHARM LLC

Provider Business Mailing Address
First Line	:	34644 DEQUINDRE RD
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-5233
Country	:	US
Telephone Number	:	586-698-0336
Fax Number	:	586-698-0344

Provider Business Practice Location Address
First Line	:	34644 DEQUINDRE RD
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-5233
Country	:	US
Telephone Number	:	586-698-0336
Fax Number	:	586-698-0344

Authorized Official
Title or Position	:	EVP
Name	:	YVONNE GALLAGHER
Credential	:
Telephone Number	:	248-348-1570

Provider Enumeration Date	:	08/27/2006
Last Update Date	:	11/17/2021

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Directions to “SEMA PHARM LLC ” Practice Location

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