Provider Demographics
NPI:1013065168
Name:ECKARD, TAMMY BREWER (PHARMD, CPP)
Entity Type:Individual
Prefix:DR
First Name:TAMMY
Middle Name:BREWER
Last Name:ECKARD
Suffix:
Gender:F
Credentials:PHARMD, CPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 W. DECATUR ST.
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:NC
Mailing Address - Zip Code:27025
Mailing Address - Country:US
Mailing Address - Phone:336-548-9618
Mailing Address - Fax:336-548-4877
Practice Address - Street 1:401 W. DECATUR ST.
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:NC
Practice Address - Zip Code:27025
Practice Address - Country:US
Practice Address - Phone:336-548-9618
Practice Address - Fax:336-548-4877
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15953183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0070-00091OtherCLINICAL PHARMACIST PRACT