MEDICARE: SEM & SAM CORP

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		NY

General Provider Information

NPI Number	:	1316981046
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEM & SAM CORP

Provider Business Mailing Address
First Line	:	1071 OGDEN AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10452
Country	:	US
Telephone Number	:	718-410-9113
Fax Number	:	718-410-9131

Provider Business Practice Location Address
First Line	:	1071 OGDEN AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10452-4601
Country	:	US
Telephone Number	:	718-410-9113
Fax Number	:	718-410-9131

Authorized Official
Title or Position	:	SUPERVISING PHARMACIST
Name	:	SABIE E CHERIAN
Credential	:
Telephone Number	:	516-938-1601

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	08/31/2022

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Directions to “SEM & SAM CORP ” Practice Location

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