MEDICARE: SEM ENTERPRISES INC

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	333600000X	Pharmacy	005317	MO
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2627555	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1194851592
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEM ENTERPRISES INC

Provider Business Mailing Address
First Line	:	3418 MERAMEC ST
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63118-4208
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3418 MERAMEC ST
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63118-4208
Country	:	US
Telephone Number	:	314-752-2442
Fax Number	:	314-752-7118

Authorized Official
Title or Position	:	OWNER PHARMACIST
Name	:	STANLEY MORRIS
Credential	:	RPH
Telephone Number	:	314-752-2442

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	03/07/2023

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Directions to “SEM ENTERPRISES INC ” Practice Location

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