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TCP1 LLC NPI 1013069368


NPI Information

NPI: 1013069368
Provider Name: TCP1, LLC

Doing Business As: THE CORNER PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
12266 DEPAUL DRIVE
SUITE 105
BRIDGETON, MO
ZIP 63044
Phone: (314) 344-7567
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TCP1, LLC is a community/retail pharmacy pharmacy in Bridgeton, MO. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. TCP1, LLC NPI is 1013069368. The provider is registered as an organization entity type.
The provider Is Doing Business As The Corner Pharmacy.

The provider's business location address is:

12266 DEPAUL DRIVE
SUITE 105
BRIDGETON, MO
ZIP 63044
Phone: (314) 344-7567
Fax: (314) 344-7179

The provider's authorized official is Phil Worrell .
The authorized official title is Dir Of Phrm and has the following contact phone number (314) 567-7994.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 6/18/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy2005000826MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12635867OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
2606172302MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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