Lorraine Corra, RPH, BCGP

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Fort Harrison, MT

NPI 1659835593 · NPPES record last updated Jan 24, 2019

Key facts

NPI
1659835593
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
3579 (MT)
Practice address
3687 Veterans Drive
Fort Harrison, MT 59636-0190
Phone
(406) 447-7571
NPI assigned
Jan 24, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
3579MTMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 3579 MT Yes

Addresses

Primary practice location

3687 Veterans Drive
Fort Harrison, MT 59636-0190

Mailing address

PO Box 225
Fort Harrison, MT 59636-0225
Phone (406) 868-4372

Other identifiers

IdentifierTypeStateIssuer
1835P0018XOtherMTVA HEALTHCARE

Other providers in Fort Harrison, MT

All providers in Fort Harrison, MT · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Montana

Sources for this page

Verify at the official NPI Registry.