Provider Demographics
NPI:1326878505
Name:SEMA PHARM LLC
Entity type:Organization
Organization Name:SEMA PHARM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:FOUAD
Authorized Official - Middle Name:A
Authorized Official - Last Name:MATTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-698-0336
Mailing Address - Street 1:34644 DEQUINDRE RD
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-5233
Mailing Address - Country:US
Mailing Address - Phone:586-698-0336
Mailing Address - Fax:586-698-0344
Practice Address - Street 1:34644 DEQUINDRE RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-5233
Practice Address - Country:US
Practice Address - Phone:586-698-0336
Practice Address - Fax:586-698-0344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-03
Last Update Date:2024-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy