Crain Towers Pharmacy

LBN: Intrade Inc
Crain Towers Pharmacy is an health care organization with primary practice located at 1600 Crain Hwy S Ste 110, Glen Burnie MD 21061-5577. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Intrade Inc can be contacted via phone (410) 760-4595, or through Shah, Manish via phone (410) 760-4595.

Contact Information

Primary practice address
1600 Crain Hwy S Ste 110 Glen Burnie MD 21061-5577
Phone: (410) 760-4595
Fax: (410) 760-1575
Website:
Map and Directions
Authorized official contact:
Name: Shah, Manish
Phone: (410) 760-4595

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X P03144 Maryland
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1255438180
LBN Legal business name Intrade Inc
DBA Doing business as Crain Towers Pharmacy
Authorized official Shah, Manish
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Jun 16th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255438180 NPPES
Maryland MEDICAID 000151100
Maryland Other 2037774

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