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SCOTT E. CORCORAN

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1437286200

Individual Registrant:
 SCOTT E. CORCORAN 
Gender: M
Sole Proprietor

Location and contact information for practice:
110 LUKE AVE ROOM 400, HQ USAF SG8X BOLLING AIR FORCE BASE, DC 20032-7050 US
Tel: 202-767-0297  Fax: 202-767-5053

Contact information for business:
8406 CHERRY VALLEY LN  ALEXANDRIA, VA 22309-2120 US
Tel: 703-373-3097  Fax: --

Registration Information:
NPI: 1437286200
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
SD4321

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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