Provider Demographics
NPI:1437585908
Name:DORSEY, CARLESHA (RPH)
Entity Type:Individual
Prefix:DR
First Name:CARLESHA
Middle Name:
Last Name:DORSEY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1329 KEMPSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-8132
Mailing Address - Country:US
Mailing Address - Phone:757-312-0502
Mailing Address - Fax:757-312-9064
Practice Address - Street 1:1329 KEMPSVILLE RD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-8132
Practice Address - Country:US
Practice Address - Phone:757-312-0502
Practice Address - Fax:757-312-9064
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-17
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23474183500000X
VA0202213793183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist