Provider Demographics
NPI:1285227264
Name:VLASHI, KRISTELA
Entity Type:Individual
Prefix:
First Name:KRISTELA
Middle Name:
Last Name:VLASHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KRISTELA
Other - Middle Name:
Other - Last Name:VULAJ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11 GREEN ST
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-1309
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:59 BOSTON ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2145
Practice Address - Country:US
Practice Address - Phone:978-745-6756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-19
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH238700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist