Individual
HOLLY CORSARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3703 CAMBRIDGE DR, HURRICANE, WV 25526-8921
(304) 541-9585
Mailing address
3703 CAMBRIDGE DR, HURRICANE, WV 25526-8921
(304) 541-9585
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000000
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
WV
Enumeration date
08/24/2020
Last updated
08/24/2020
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