Provider Demographics
NPI:1881763548
Name:SEMLINGS PHARMACY, INC.
Entity type:Organization
Organization Name:SEMLINGS PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-397-5555
Mailing Address - Street 1:1804 COLUMBIA BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT HELENS
Mailing Address - State:OR
Mailing Address - Zip Code:97051-1733
Mailing Address - Country:US
Mailing Address - Phone:503-397-5555
Mailing Address - Fax:503-397-5441
Practice Address - Street 1:1804 COLUMBIA BLVD
Practice Address - Street 2:
Practice Address - City:SAINT HELENS
Practice Address - State:OR
Practice Address - Zip Code:97051-1733
Practice Address - Country:US
Practice Address - Phone:503-397-5555
Practice Address - Fax:503-397-5441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRP-0000639-CS3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR181727Medicaid
3805073OtherNCPDP