Provider Demographics
NPI:1881904530
Name:TARLTON, JULIA (PHARMD)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:TARLTON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3823 CAMERON RD
Mailing Address - Street 2:
Mailing Address - City:POLKTON
Mailing Address - State:NC
Mailing Address - Zip Code:28135-8190
Mailing Address - Country:US
Mailing Address - Phone:704-272-0881
Mailing Address - Fax:704-694-9376
Practice Address - Street 1:806 CAMDEN RD
Practice Address - Street 2:
Practice Address - City:WADESBORO
Practice Address - State:NC
Practice Address - Zip Code:28170-2642
Practice Address - Country:US
Practice Address - Phone:704-694-9358
Practice Address - Fax:704-694-9376
Is Sole Proprietor?:No
Enumeration Date:2010-10-15
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC19833183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist