Healthcare Provider Details

I. General information

NPI: 1740923960
Provider Name (Legal Business Name): PHARMING COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2022
Last Update Date: 04/15/2022
Certification Date: 04/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 NORTHEAST BLVD
CLINTON NC
28328-2434
US

IV. Provider business mailing address

6205 HOBBTON HWY
CLINTON NC
28328-5803
US

V. Phone/Fax

Practice location:
  • Phone: 910-592-3121
  • Fax: 910-592-3144
Mailing address:
  • Phone: 105-923-1219
  • Fax: 910-592-3144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. TARA JACKSON
Title or Position: OWNER/PHARMACIST
Credential: PHARMD
Phone: 910-592-3121