Provider Demographics
NPI:1720633399
Name:NAGAR, RAISHA RASHESH (PHARMD)
Entity Type:Individual
Prefix:
First Name:RAISHA
Middle Name:RASHESH
Last Name:NAGAR
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 1:7731 OLD WOODSTOCK LN
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-6980
Mailing Address - Country:US
Mailing Address - Phone:717-712-4018
Mailing Address - Fax:
Practice Address - Street 1:2700 REMINGTON AVE STE 500
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211-3043
Practice Address - Country:US
Practice Address - Phone:410-235-2128
Practice Address - Fax:410-889-1609
Is Sole Proprietor?:No
Enumeration Date:2019-08-09
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD26705183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist