Provider Demographics
NPI:1720703937
Name:NGACHIE, ROSALIE NGUESSA (RPH)
Entity Type:Individual
Prefix:
First Name:ROSALIE
Middle Name:NGUESSA
Last Name:NGACHIE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9603 MOUNT PISGAH RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-2328
Mailing Address - Country:US
Mailing Address - Phone:240-462-6009
Mailing Address - Fax:
Practice Address - Street 1:2009 8TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-3022
Practice Address - Country:US
Practice Address - Phone:202-232-2201
Practice Address - Fax:202-232-3363
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH2954183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty