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NPI 1255438180

OrganizationActive

Intrade Inc

NPI 1255438180 · Pharmacy · Glen Burnie, MD

Provider details

NPI number: 1255438180
Entity type: Organization
Primary specialty: PharmacySuppliers
Organization subpart: No
Authorized official: Manish Shah, Owner Pharmacist(410) 760-4595

Specialties & taxonomies

PharmacyPrimary333600000XLicense P03144 (MD)
Suppliers
Community/Retail Pharmacy3336C0003X
Suppliers

Practice location

1600 Crain Hwy S

Ste 110

Glen Burnie, MD 21061-5577

Phone: (410) 760-4595

Fax: (410) 760-1575

Approximate (ZIP-level) locationGet directions

More MD providers

Mailing address

1600 Crain Hwy S

Glen Burnie, MD 21061-5577

Other names (DBA / former)

Doing business as: Crain Towers Pharmacy

Registry dates

Enumerated: 2006-09-20
Last updated: 2016-06-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Intrade Inc — NPI 1255438180, Glen Burnie, MD | NPI Central