Provider Demographics
NPI:1619693678
Name:EOM, ESTHER HAEIN (PHARMD)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:HAEIN
Last Name:EOM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5313 LIBBIE MILL WEST BLVD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-2638
Mailing Address - Country:US
Mailing Address - Phone:757-899-0551
Mailing Address - Fax:
Practice Address - Street 1:1030 WILMER AVE STE 300
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-2403
Practice Address - Country:US
Practice Address - Phone:877-814-3475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02022196941835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology