Individual
LORRAINE CORRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, BCGP
Contact information
Practice address
3687 VETERANS DRIVE, FORT HARRISON, MT 59636-0190
(406) 447-7571
Mailing address
PO BOX 225, FORT HARRISON, MT 59636-0225
(406) 868-4372
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
3579
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1835P0018X
VA HEALTHCARE
MT
Enumeration date
01/24/2019
Last updated
01/24/2019
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