Michael Charles Cornwall, RPH

Pharmacist · O Fallon, IL

Individual Active NPI

NPI number 1376194134

Practice location

21 Shallowbrook Dr
O Fallon, IL 62269-1214
Phone
(618) 977-5537

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NPI record

NPI
1376194134
Entity type
Individual (Type 1)
Enumeration date
September 24, 2019
Last updated
September 24, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 041484 MO

About Michael Cornwall

Michael Charles Cornwall, RPH is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 21 Shallowbrook Dr, O Fallon, IL 62269-1214. The NPI number 1376194134 was assigned on September 24, 2019 and the record was last updated on September 24, 2019.

Michael Cornwall lists a license in the registry: #041484 (MO) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Charles Cornwall, RPH?

The NPI number is 1376194134.

What is the phone number of Michael Cornwall?

The phone number listed for the practice location is (618) 977-5537.

Where is Michael Cornwall located?

21 Shallowbrook Dr, O Fallon, IL 62269-1214.

What is the taxonomy code for Michael Cornwall?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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