NPI 1265730873

Suresh Kandagatla

Practitioner Pharmacist Pocomoke City, MD

Practice location

Address: 505 Linden Ave, Pocomoke City, MD 21851-1133
Phone: (410) 957-2311
Fax: (410) 957-2060

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 16675 (MD)

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Registry record

NPI: 1265730873
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Mar 2011
Record last updated: 6 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.