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
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
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.