Individual
MR. PHILLIP D WORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH., J.D.
Contact information
Practice address
130 CLARKSON EXECUTIVE PARK, SUITE D, ELLISVILLE, MO 63011-2179
(636) 220-8282
(636) 220-8283
Mailing address
130 CLARKSON EXECUTIVE PARK, SUITE D, ELLISVILLE, MO 63011-2179
(636) 220-8282
(636) 220-8283
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42479
MO
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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