Provider Demographics
NPI:1497355259
Name:KAUSHIK, RICHA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RICHA
Middle Name:
Last Name:KAUSHIK
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 1:14701 SUSAN MARIE WAY
Mailing Address - Street 2:
Mailing Address - City:WOODBINE
Mailing Address - State:MD
Mailing Address - Zip Code:21797-8617
Mailing Address - Country:US
Mailing Address - Phone:410-258-3000
Mailing Address - Fax:
Practice Address - Street 1:5604 BUCKEYSTOWN PIKE
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-8312
Practice Address - Country:US
Practice Address - Phone:240-379-7612
Practice Address - Fax:240-379-7616
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17173183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist