Whalio Doctors

NPI 1013069368

Tcp1, LLC

Organisation Community/Retail Pharmacy Bridgeton, MO

Practice location

Address
12266 Depaul Drive Suite 105, Bridgeton, MO 63044
Phone
(314) 344-7567
Fax
(314) 344-7179
Mailing address
727 N New Ballas Rd, Creve Coeur, MO 63141-6715

Authorised official

Name
Phil Worrell
Title
Dir of Phrm
Phone
(314) 567-7994

Registered specialties (2)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 2005000826 (MO)
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1013069368
Entity type
Organization
NPI issued
17 Jan 2007
Record last updated
18 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.