Provider Demographics
NPI:1639901259
Name:SEMO DRUGS INC
Entity type:Organization
Organization Name:SEMO DRUGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:GLENN
Authorized Official - Last Name:MICHAEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:573-738-2097
Mailing Address - Street 1:PO BOX 700
Mailing Address - Street 2:
Mailing Address - City:SENATH
Mailing Address - State:MO
Mailing Address - Zip Code:63876-0700
Mailing Address - Country:US
Mailing Address - Phone:573-738-2097
Mailing Address - Fax:573-738-2233
Practice Address - Street 1:339 E COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:SENATH
Practice Address - State:MO
Practice Address - Zip Code:63876-9238
Practice Address - Country:US
Practice Address - Phone:573-738-2097
Practice Address - Fax:573-738-2233
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SEMO DRUGS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy