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INTRADE INC NPI 1255438180


NPI Information

NPI: 1255438180
Provider Name: INTRADE INC

Doing Business As: CRAIN TOWERS PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1600 CRAIN HWY S
STE 110
GLEN BURNIE, MD
ZIP 21061
Phone: (410) 760-4595
Get Directions

INTRADE INC is a pharmacy in Glen Burnie, MD. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. INTRADE INC NPI is 1255438180. The provider is registered as an organization entity type.
The provider Is Doing Business As Crain Towers Pharmacy.

The provider's business location address is:

1600 CRAIN HWY S
STE 110
GLEN BURNIE, MD
ZIP 21061-577
Phone: (410) 760-4595
Fax: (410) 760-1575

The provider's authorized official is Manish Shah .
The authorized official title is Owner Pharmacist and has the following contact phone number (410) 760-4595.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 6/16/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacyP03144MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15070870001MEDICARE NSC
22037774OTHERPK
3000151100MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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