Healthcare Provider Details

I. General information

NPI: 1881904530
Provider Name (Legal Business Name): JULIA TARLTON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2010
Last Update Date: 10/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 CAMDEN RD
WADESBORO NC
28170-2642
US

IV. Provider business mailing address

3823 CAMERON RD
POLKTON NC
28135-8190
US

V. Phone/Fax

Practice location:
  • Phone: 704-694-9358
  • Fax: 704-694-9376
Mailing address:
  • Phone: 704-272-0881
  • Fax: 704-694-9376

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number19833
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: