Organization
PHARMING COMPANY
Active
Other names
Matthews Drug Store
Organization subpart
No
Provider details
NPI number
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
(105) 923-1219
(910) 592-3144
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025109
—
NC
05
—
7700182
—
NC
Enumeration date
04/15/2022
Last updated
04/15/2022
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