Organization
ANSON PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA TARLTON PHARMD (PHARMACIST/IMMUNIZER)
(704) 694-9358
Entity
Organization
Contact information
Practice address
806 CAMDEN RD, WADESBORO, NC 28170-2642
(704) 694-9358
(704) 694-9376
Mailing address
806 CAMDEN RD, WADESBORO, NC 28170-2642
(704) 694-9358
(704) 694-9376
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
04842
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0045138
—
NC
Enumeration date
12/27/2010
Last updated
12/27/2010
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