Provider Demographics
NPI:1558669754
Name:RAINS PHARMACY
Entity Type:Organization
Organization Name:RAINS PHARMACY
Other - Org Name:RAINS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:SAJJAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HOSSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-344-0300
Mailing Address - Street 1:2106 EWING AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35901-1854
Mailing Address - Country:US
Mailing Address - Phone:256-344-0300
Mailing Address - Fax:256-399-4333
Practice Address - Street 1:2106 EWING AVE
Practice Address - Street 2:SUITE B
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-1854
Practice Address - Country:US
Practice Address - Phone:256-344-0300
Practice Address - Fax:256-399-4333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-11
Last Update Date:2011-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
AL1136713336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
0137073OtherNCPDP PROVIDER IDENTIFICATION NUMBER