Individual provider · Type 1 NPI

Michael Charles Cornwall, RPH

Pharmacist · O Fallon, IL

NPI number 1376194134 Active

Practice location

21 Shallowbrook Dr
O Fallon, IL 62269-1214

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X041484 (MO)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1376194134

Michael Charles Cornwall, RPH's National Provider Identifier is 1376194134, issued on Sep 24, 2019. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in O Fallon, IL. The record was last updated on Sep 24, 2019.