Semo Drugs Inc
Organization Active NPI Long Term Care Pharmacy · Senath, MO
NPI 1639901259 · NPPES record last updated Aug 14, 2024
Key facts
- NPI
- 1639901259
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- Legal business name
- SEMO DRUGS INC
- Practice address
- 339 E Commercial St
Senath, MO 63876-9238 - Phone
- (573) 738-2097
- Fax
- (573) 738-2233
- NPI assigned
- Aug 14, 2024
- Organization subpart
- Yes
- Parent organization (as reported)
- SEMO DRUGS INC
Authorized official
- Name
- Brandon Glenn Michael, PHARMD
- Title
- Owner/Pharmacist in Charge
- Phone
- (573) 738-2097
Parent organization (reported in NPPES) 1
Practitioners 2
-
Brandon Glenn Michael, PHARM.D
-
Tyson Wallace, PHARM. D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2300756 | Bootheel Drugs | Certificate of waiver | Mar 14, 2028 |
National Provider Directory
- Part of
- Semo Drugs Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Yes |
Addresses
Primary practice location
339 E Commercial St
Senath, MO 63876-9238
Mailing address
PO Box 700
Senath, MO 63876-0700
Phone (573) 738-2097
Other names
- Bootheel Drugs LTC
Other providers in Senath, MO
- N & R of Senath North, Inc.
- N & R of Senath South, Inc.
- New Day Recovery - Senath, L.L.C.
- Semo Drug - Care Plus of Mo, Inc.
- Semo Drugs Inc
- Senath Health Care Center, L.L.C.
- Senath Nursing and Rehabilitation, LLC
- Senath South Health Care Center, L.L.C.
- Senath South Nursing and Rehabilitation, LLC
- Senath-Hornersville C-8
All providers in Senath, MO · Long Term Care Pharmacy in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.