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Organization
SESSER PHARMACY SI LLC
Active
Organization
SESSER PHARMACY SI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN SOMMER (VICE PRESIDENT FINANCE/AO)
(314) 965-4700
Entity
Organization
Contact information
Practice address
1116 W MAIN ST, FAIRFIELD, IL 62837-2324
(618) 842-6007
(618) 842-4816
Mailing address
132 W MONROE AVE, KIRKWOOD, MO 63122-5816
(314) 965-4700
(314) 965-4706
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
054020189
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166637
PK
—
Enumeration date
12/20/2016
Last updated
10/28/2020
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