Provider Demographics
NPI:1093387896
Name:SCOTT, ERIC FRANCIS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:FRANCIS
Last Name:SCOTT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 ROBERTS ST APT 4
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-3172
Mailing Address - Country:US
Mailing Address - Phone:518-269-6251
Mailing Address - Fax:
Practice Address - Street 1:33820 OLD VALLEY PIKE STE 7
Practice Address - Street 2:
Practice Address - City:STRASBURG
Practice Address - State:VA
Practice Address - Zip Code:22657-3793
Practice Address - Country:US
Practice Address - Phone:540-465-5001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202218982183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0202218982OtherSTATE LICENSE