Provider Demographics
NPI:1801492822
Name:NSAHLAI, ESTHER KONGLA (REGISTEREDPHARMACIST)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:KONGLA
Last Name:NSAHLAI
Suffix:
Gender:F
Credentials:REGISTEREDPHARMACIST
Other - Prefix:
Other - First Name:ESTHER
Other - Middle Name:
Other - Last Name:NYEANCHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NYEANCHI
Mailing Address - Street 1:3364 PRINCESS ANNE RD STE 501
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-2610
Mailing Address - Country:US
Mailing Address - Phone:757-468-5879
Mailing Address - Fax:
Practice Address - Street 1:3364 PRINCESS ANNE RD STE 501
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-2610
Practice Address - Country:US
Practice Address - Phone:757-468-5879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-06
Last Update Date:2020-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202012401333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy