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Organization

TCP1, LLC

Active
Other names
THE CORNER PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
PHIL WORRELL RPH (DIR OF PHRM)
(314) 567-7994
Entity
Organization

Contact information

Practice address
12266 DEPAUL DRIVE, SUITE 105, BRIDGETON, MO 63044
(314) 344-7567
(314) 344-7179
Mailing address
727 N NEW BALLAS RD, CREVE COEUR, MO 63141-6715
(314) 567-7994
(314) 567-0323

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
2005000826
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2635867
NCPDP PROVIDER IDENTIFICATION NUMBER
05
606172302
MO
Enumeration date
01/17/2007
Last updated
06/18/2009
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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