Provider Demographics
NPI:1750764619
Name:TITUS-RAINS, KRYSTAL STRAND (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KRYSTAL
Middle Name:STRAND
Last Name:TITUS-RAINS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:KRYSTAL
Other - Middle Name:STRAND
Other - Last Name:TITUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:601 HIGHWAY 6 W
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52246-2209
Mailing Address - Country:US
Mailing Address - Phone:193-338-0581
Mailing Address - Fax:
Practice Address - Street 1:508 FULTON ST # 119
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-3875
Practice Address - Country:US
Practice Address - Phone:919-286-0411
Practice Address - Fax:919-286-6987
Is Sole Proprietor?:No
Enumeration Date:2015-07-09
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA222481835X0200X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology
No183500000XPharmacy Service ProvidersPharmacist