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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us