Individual
DR. BRANDON CORPENING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3662 PARK AVE STE 155, SAINT LOUIS, MO 63110-2512
(314) 897-5002
Mailing address
5742 GREY DOVE PL, SAINT LOUIS, MO 63128-3778
(404) 593-9305
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202211411
VA
183500000X
Pharmacist
051301885
IL
183500000X
Pharmacist
1-117634
KS
183500000X
Pharmacist
Primary
2015036083
MO
Other
Enumeration date
06/15/2013
Last updated
09/26/2022
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