The Corner Pharmacy

LBN: Tcp1, Llc
The Corner Pharmacy is an health care organization with primary practice located at 12266 Depaul Drive Suite 105, Bridgeton MO 63044. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Tcp1, Llc can be contacted via phone (314) 344-7567, or through Worrell, Phil via phone (314) 567-7994.

Contact Information

Primary practice address
12266 Depaul Drive Suite 105 Bridgeton MO 63044
Phone: (314) 344-7567
Fax: (314) 344-7179
Website:
Map and Directions
Authorized official contact:
Name: Worrell, Phil RPH
Phone: (314) 567-7994

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2005000826 Missouri

Profile Details

NPI number 1013069368
LBN Legal business name Tcp1, Llc
DBA Doing business as The Corner Pharmacy
Authorized official Worrell, Phil RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2007
Last updated Jun 18th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013069368 NPPES
Missouri MEDICAID 606172302
Missouri Other 2635867

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