IndividualActive
Agbonluai Atta
NPI 1295345973 · Pharmacist · Upper Marlboro, MD
Provider details
- NPI number
- 1295345973
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 25688 (MD)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
211 Graiden St
Upper Marlboro, MD 20774-1817
Phone: (301) 404-7446
Approximate (ZIP-level) locationGet directions
Mailing address
211 Graiden St
Upper Marlboro, MD 20774-1817
Registry dates
- Enumerated
- 2020-08-06
- Last updated
- 2020-08-06
- Certified
- 2020-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.