# SESSER PHARMACY SI LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700321288
- **Authorized official:** STEPHEN SOMMER (VICE PRESIDENT FINANCE/AO)
- **Authorized official phone:** (314) 965-4700

## Contact information

- **Practice address:** 1116 W MAIN ST, FAIRFIELD, IL 62837-2324
- **Practice address phone:** (618) 842-6007
- **Practice address fax:** (618) 842-4816
- **Mailing address:** 132 W MONROE AVE, KIRKWOOD, MO 63122-5816
- **Mailing address phone:** (314) 965-4700
- **Mailing address fax:** (314) 965-4706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054020189 | IL | Yes |

## Other

- **Enumeration date:** 12/20/2016
- **Last updated:** 10/28/2020