Organization
PHARMING COMPANY
Active
Parent organization
PHARMING COMPANY
Other names
Matthews Drug Store
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHARMING COMPANY
Authorized official
DR. TARA JACKSON PHARMD (OWNER/PHARMACIST)
(910) 592-3121
Entity
Organization
Contact information
Practice address
408 NORTHEAST BLVD, CLINTON, NC 28328-2434
(910) 592-3121
(910) 592-3144
Mailing address
6205 HOBBTON HWY, CLINTON, NC 28328-5803
(910) 305-9338
(910) 592-3144
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0476P
BLUE CROSS BLUE SHIELD
NC
05
—
3564
—
NC
05
—
7700182
—
NC
Enumeration date
04/15/2022
Last updated
08/22/2022
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