Individual provider · Type 1 NPI
Kduse Ragassa, PharmD
Clinic Pharmacy · Upper Marlboro, MD
NPI number
1922585082
Active
Practice location
1100 Mercantile Ln Ste 135A
Upper Marlboro, MD 20774-5367
Fax (240) 615-8550
Mailing address
1836 Metzerott Rd Apt 314
Adelphi, MD 20783-3442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic Pharmacy Primary | 3336C0002X | P07874 (MD) |
Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
About NPI 1922585082
Kduse Ragassa, PharmD's National Provider Identifier is 1922585082, issued on Jul 22, 2018. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Upper Marlboro, MD. The record was last updated on Jul 22, 2018.