Provider Demographics
NPI:1609513811
Name:CRIADO, MARCIA MAE (BS, TTS, PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:MAE
Last Name:CRIADO
Suffix:
Gender:F
Credentials:BS, TTS, PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2872 FILLMORE DR
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-7827
Mailing Address - Country:US
Mailing Address - Phone:412-352-6277
Mailing Address - Fax:
Practice Address - Street 1:1730 LINCOLN WAY E
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17202-3348
Practice Address - Country:US
Practice Address - Phone:717-264-1191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-18
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP456352183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist