Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Michael Charles Cornwall, RPH

Individual provider Pharmacist · NPI 1376194134

Mr. Michael Charles Cornwall, RPH is a Pharmacist in O Fallon, Illinois. Licensed in Missouri. Registered with an NPI since 2019.

Licensed in
MO
In the registry since
2019
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

See every abbreviation used in this directory →

Practice location Address checks out

21 Shallowbrook Dr
O Fallon, IL 62269-1214
Phone: (618) 977-5537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 041484 (MO)

Record details

NPI number1376194134
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedSeptember 24, 2019
Last updated in NPPESSeptember 24, 2019
Mailing address21 Shallowbrook Dr, O Fallon, IL 62269-1214

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