Individual
SCOTT E. CORCORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 LUKE AVE, ROOM 400, HQ USAF SG8X, BOLLING AIR FORCE BASE, DC 20032-7050
(202) 767-0297
(202) 767-5053
Mailing address
8406 CHERRY VALLEY LN, ALEXANDRIA, VA 22309-2120
(703) 373-3097
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4321
SD
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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