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General NPI Number Information
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NPI Number | 1740923960
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Entity Type | Organization
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Legal Business Name | PHARMING COMPANY
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Dates
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Enumeration Date | 04/15/2022
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Last Update Date | 04/15/2022
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Provider Practice Location Address
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Address Line | 408 NORTHEAST BLVD
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City | CLINTON
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State | NC
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Zip | 28328-2434
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Country | US
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Telephone | 910-592-3121
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Fax | 910-592-3144
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Provider Business Mailing Address
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Address Line | 6205 HOBBTON HWY
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City | CLINTON
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State | NC
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Zip | 28328-5803
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Country | US
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Telephone | 105-923-1219
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Fax | 910-592-3144
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | DR. TARA JACKSON
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Credential | PHARMD
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Telephone | 910-592-3121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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