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NPI 1922585082

IndividualActive

Kduse Ragassa, PHARM.D

NPI 1922585082 · Clinic Pharmacy · Upper Marlboro, MD

Provider details

NPI number: 1922585082
Entity type: Individual
Primary specialty: Clinic PharmacySuppliers
Credential: PHARM.D
Sex: Male
Sole proprietor: Yes
License: P07874 (MD)

Practice location

1100 Mercantile Ln Ste 135a

Upper Marlboro, MD 20774-5367

Phone: (240) 623-0400

Fax: (240) 615-8550

More MD providers

Mailing address

1836 Metzerott Rd Apt 314

Adelphi, MD 20783-3442

Registry dates

Enumerated: 2018-07-22
Last updated: 2018-07-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Kduse Ragassa, PHARM.D — NPI 1922585082, Upper Marlboro, MD | NPI Central