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The 48 largest pharmaceutical companies in North Carolina

Tamtam tracks 48 pharmaceutical companies headquartered in North Carolina. This list ranks all of them by number of employees on LinkedIn, led by IQVIA, Labcorp and Syneos Health. Their median headcount is 1,036. Half of them were founded in 1996 or later. The most common headquarters are Durham (14), Raleigh (10) and Morrisville (5).

๐Ÿ‡บ๐Ÿ‡ธ North Carolina48 companiesUpdated Oct 24, 2026
#CompanyIndustryHeadquarters EmployeesFounded
1
IQVIAiqvia.com

Provides clinical research, commercial insights, and healthcare intelligence to life sciences and healthcare industries, accelerating medical treatments for better patient outcomes.

Hospitals and Health Care ๐Ÿ‡บ๐Ÿ‡ธ Durham 80,633 1954
2
Labcorplabcorp.com

Provides innovative, comprehensive laboratory services, insights, and advanced science to improve health outcomes and develop new drugs for global clients and patients.

Hospitals and Health Care ๐Ÿ‡บ๐Ÿ‡ธ Burlington 42,780 1905
3
Syneos Healthsyneoshealth.com

A leading biopharmaceutical solutions organization driving customer success by translating clinical, medical, and commercial insights into outcomes worldwide Promoting inclusivity and sustainability

Biotechnology Research ๐Ÿ‡บ๐Ÿ‡ธ Morrisville 23,569 n/a
4
Parexelparexel.com

Provides comprehensive clinical development services globally, from early to late phase trials, helping new treatments reach patients faster through expertise and innovation.

Pharmaceutical Manufacturing ๐Ÿ‡บ๐Ÿ‡ธ Raleigh 21,982 1982
5
Fortreafortrea.com

A global provider of clinical development and patient access solutions, specializing in accelerating life-changing therapies to patients through innovative trial management services

Biotechnology Research ๐Ÿ‡บ๐Ÿ‡ธ Research Triangle Park 11,430 n/a
6
Dentsply Sironadentsplysirona.com

World's largest maker of professional dental products and technologies, enabling dental professionals to offer improved, safer, and quicker dental care. Comprehensive solutions across consumables, equipment, technology, specialty products.

Medical Equipment Manufacturing ๐Ÿ‡บ๐Ÿ‡ธ Charlotte 11,331 1899
7
Labcorp Drug Developmentlabcorp.com

A global leader in diagnostics and drug development, providing insights to improve health and lives through innovative solutions and unparalleled capabilities

Hospitals and Health Care ๐Ÿ‡บ๐Ÿ‡ธ Burlington 9,425 n/a
8
FUJIFILM Biotechnologiesfujifilm.com

Accelerates biopharma progress, expands capabilities, streamlines processes, and strengthens innovation for cures, vaccines, and biologics, improving patient outcomes worldwide.

Biotechnology Research ๐Ÿ‡บ๐Ÿ‡ธ Billingham 5,907 2011
9
PRA Health Sciencesinvestor.iconplc.com

clinical research organisation combining healthcare intelligence and advanced trial methods to improve efficiency, speed, and quality of clinical trials

Research Services ๐Ÿ‡บ๐Ÿ‡ธ Raleigh 4,426 n/a
10
Worldwide Clinical Trialsworldwide.com

A global CRO working with biotech and pharma companies to advance new treatments through clinical trials, bioanalytical services, and evidence studies

Research Services ๐Ÿ‡บ๐Ÿ‡ธ Research Triangle Park 4,181 1986
11
Octapharma Plasma, Inc.octapharmaplasma.com

A US-based company collects, tests, and supplies human blood plasma for the creation of medicines, supporting the treatment of patients worldwide

Pharmaceutical Manufacturing ๐Ÿ‡บ๐Ÿ‡ธ Charlotte 3,201 n/a
12
Merz Aestheticsmerzaesthetics.com

A global medical aesthetics business offering injectables, devices, and skincare treatments to help individuals look, feel, and live confidently worldwide

Pharmaceutical Manufacturing ๐Ÿ‡บ๐Ÿ‡ธ Raleigh 3,164 n/a
13
Premier Researchpremier-research.com

Global clinical research and consulting services specializing in biotech, accelerating drug development, overcoming trial challenges, and delivering personalized end-to-end solutions.

Biotechnology Research ๐Ÿ‡บ๐Ÿ‡ธ Morrisville 2,858 1989
14
ProPharmapropharmagroup.com

Regulatory, clinical research, compliance, and pharmacovigilance services for pharmaceutical and biotech industries to accelerate therapy development through an advise-build-operate consulting model.

Business Consulting and Services ๐Ÿ‡บ๐Ÿ‡ธ Raleigh 2,246 2001
15
KBI Biopharmakbibiopharma.com

Provides fully-integrated, accelerated drug development and biomanufacturing services to pharmaceutical and biotechnology companies globally with world-class analytical capabilities.

Biotechnology Research ๐Ÿ‡บ๐Ÿ‡ธ Durham 1,694 1996
16
Syneos Health Clinical Solutionssyneoshealth.com

A leading biopharmaceutical solutions organization accelerating customer success by translating insights into outcomes and delivering important therapies worldwide

Pharmaceutical Manufacturing ๐Ÿ‡บ๐Ÿ‡ธ Morrisville 1,569 2017
17
WCGwcgclinical.com

Industry leader in ethical review solutions for clinical research, optimizing quality, safety, and efficiency through data-driven insights and specialized solutions

Research Services ๐Ÿ‡บ๐Ÿ‡ธ Cary 1,463 n/a
18
Allucentallucent.com

A global provider of drug development solutions for small and mid-sized biotech companies, offering consulting, clinical operations, and more

Pharmaceutical Manufacturing ๐Ÿ‡บ๐Ÿ‡ธ Cary 1,355 n/a
19
Alcami Corporationalcami.com

Provides integrated lab services, drug product manufacturing, cGMP pharma storage, and support services including environmental monitoring, calibration, and validation for pharmaceuticals and biologics.

Pharmaceutical Manufacturing ๐Ÿ‡บ๐Ÿ‡ธ Wilmington 1,242 1979
20
Technimark LLCtechnimark.com

A global leader in high-value injection-molded packaging and components for consumer packaging, healthcare, and industrial markets, providing innovative custom plastic solutions

Plastics Manufacturing ๐Ÿ‡บ๐Ÿ‡ธ Asheboro 1,187 1983
21
Qยฒ Solutionslabs.iqvia.com

Company undergoing rebranding and transition from Qยฒ Solutions to IQVIA Laboratories, directing audience to new website and LinkedIn.

Pharmaceutical Manufacturing ๐Ÿ‡บ๐Ÿ‡ธ Durham 1,181 2015
22
Bioventusbioventus.com

Develops innovations for active healing, providing products in pain treatment, restorative therapies, and surgical solutions for patients worldwide since 2012.

Medical Equipment Manufacturing ๐Ÿ‡บ๐Ÿ‡ธ Durham 1,153 2012
23
Syneos Health Commercial Solutionssyneoshealth.com

A fully integrated biopharmaceutical solutions organization specializing in accelerating customer success by translating insights into outcomes for modern market realities

Biotechnology Research ๐Ÿ‡บ๐Ÿ‡ธ Morrisville 1,064 n/a
24
Velocity Clinical Research, Inc.velocityclinical.com

Dedicated clinical research sites deliver high-quality trial data from many patients as quickly as possible, ensuring exemplary patient care throughout the process.

Biotechnology Research ๐Ÿ‡บ๐Ÿ‡ธ Durham 1,036 2018
25
Duke Clinical Research Institutedcri.org

A global leader in clinical research, conducting groundbreaking trials, managing patient registries, and publishing impactful research to improve healthcare quality

Research Services ๐Ÿ‡บ๐Ÿ‡ธ Durham 1,009 1969
26
INC Researchsyneoshealth.com

Syneos Health provides integrated solutions for biopharmaceutical companies, offering expertise, data, and insights to accelerate clinical and commercial success

Pharmaceutical Manufacturing ๐Ÿ‡บ๐Ÿ‡ธ Raleigh 994 2017
27
BioAgilytixbioagilytix.com

Global CRO specializing in PK, immunogenicity, biomarkers, and cell-based assays for drug development, with locations across the US, Australia, and Germany

Biotechnology Research ๐Ÿ‡บ๐Ÿ‡ธ Durham 923 2008
28
Rhorhoworld.com

A global CRO focused on guiding clients through program strategies, clinical trial challenges, and high-quality marketing applications with expertise and collaboration

Biotechnology Research ๐Ÿ‡บ๐Ÿ‡ธ Durham 792 1984
29
inVentiv Health Clinicalsyneoshealth.com

Integrated clinical and commercial solutions company dedicated to accelerating biopharmaceutical processes through expertise, data, and insights for global clients

Pharmaceutical Manufacturing ๐Ÿ‡บ๐Ÿ‡ธ Raleigh 757 2017
30
Caidyacaidya.com

A multi-therapeutic clinical research organization offering a wide range of services with industry-leading technology to support partners globally

Biotechnology Research ๐Ÿ‡บ๐Ÿ‡ธ Raleigh 756 n/a
31
Veranexveranex.com

Global innovation contract research organization, providing integrated product development and contract research services for medical devices and in-vitro diagnostics.

Research Services ๐Ÿ‡บ๐Ÿ‡ธ Raleigh 720 2021
32
AccuMED Corp.accumedcorp.com

Contract manufacturer for major medical device companies, offering high-quality, customer-centric solutions from design to delivery at competitive prices

Medical Equipment Manufacturing ๐Ÿ‡บ๐Ÿ‡ธ Mocksville 671 1994
33
BioCryst Pharmaceuticals, Inc.biocryst.com

Development of oral small-molecule and protein therapeutics targeting hereditary angioedema and other rare, difficult-to-treat diseases worldwide.

Biotechnology Research ๐Ÿ‡บ๐Ÿ‡ธ Durham 613 1986
34
Endpoint Clinicalendpointclinical.com

Interactive response technology provider for life sciences industry, offering IRT systems and solutions to optimize clinical trial operations and ensure patient dosing accuracy Headquarters in Boston

Pharmaceutical Manufacturing ๐Ÿ‡บ๐Ÿ‡ธ Raleigh 602 2009
35
Chilternfortrea.com

A company specializing in tailored clinical trial solutions for biotech ventures, offering expanded services and a personalized experience for clients

Hospitals and Health Care ๐Ÿ‡บ๐Ÿ‡ธ Durham 585 1982
36
LabConnectlabconnect.com

LabConnect accelerates drug development by offering tailored, comprehensive central laboratory services and scientific support to pharma, biotech companies, and CROs globally

Pharmaceutical Manufacturing ๐Ÿ‡บ๐Ÿ‡ธ Durham 585 2002
37
Chiesi USA, Inc.chiesiusa.com

Specialty pharmaceutical company focused on hospital, rare disease, and office-based specialties Committed to being a good corporate citizen and positively impacting communities

Pharmaceutical Manufacturing ๐Ÿ‡บ๐Ÿ‡ธ Cary 534 1935
38
Exela Pharma Sciences LLCexelapharma.com

Develops, manufactures, markets generic, proprietary injectable, sterile ophthalmic products for healthcare providers, patients. Reduces costs, improves patient outcomes, administration, safety, preparation, waste.

Pharmaceutical Manufacturing ๐Ÿ‡บ๐Ÿ‡ธ Lenoir 336 2005
39
MedPharmmedpharm.com

Supports companies navigating the complexity of topical and transdermal drug development and manufacturing, from formulation and preclinical research to clinical trial supply and commercial manufacturing.

Pharmaceutical Manufacturing ๐Ÿ‡บ๐Ÿ‡ธ Durham 285 1999
40
AAIPharma Services Corp./ Cambridge Major Laboratories Inc (Now Part of Alcami)

Merged entity, now Alcami, offers drug product, lab services, API development, and manufacturing capabilities. Check alcaminow.com for full details.

Pharmaceutical Manufacturing ๐Ÿ‡บ๐Ÿ‡ธ 226 n/a
41
Qualicapsqualicaps.com

Global manufacturer of pharmaceutical capsules and processing equipment with over 100 years of experience Specializing in gelatin and hypromellose capsules and pharmaceutical machinery

Pharmaceutical Manufacturing ๐Ÿ‡บ๐Ÿ‡ธ Whitsett 224 n/a
42
IDDIiddi.com

Provides clinical data science partnership, offering biostatistics, data management, and strategic consulting for pharmaceutical, biotech, and medical device companies, ensuring data readiness for submission.

Biotechnology Research ๐Ÿ‡บ๐Ÿ‡ธ Raleigh 194 1991
43
Gilero, A Sanner Group Companygilero.com

Offering end-to-end design, development, and manufacturing for medical devices and pharmaceutical products, specializing in a variety of areas for client needs

Medical Equipment Manufacturing ๐Ÿ‡บ๐Ÿ‡ธ Durham 154 n/a
44
Robling Medical, LLCroblingmedical.com

A full-service contract manufacturer specializing in taking medical devices from concept to market globally with high-quality standards and expertise in government approval processes

Medical Equipment Manufacturing ๐Ÿ‡บ๐Ÿ‡ธ Youngsville 88 1991
45
410 Medical: LifeFlow410medical.com

Medical device company developing innovative products to help clinicians improve care for critically ill patients, focusing on enhancing volume resuscitation for conditions like sepsis and cardiac arrest

Medical Equipment Manufacturing ๐Ÿ‡บ๐Ÿ‡ธ Durham 61 n/a
46
Blur Product Developmentblurpd.com

We are an innovative design, engineering, and contract manufacturing firm specializing in developing and producing medical devices for large OEMs and start-ups

Medical Equipment Manufacturing ๐Ÿ‡บ๐Ÿ‡ธ Cary 49 2014
47
RxDataSciencesyneoshealth.com

Provider of advanced data analytics solutions for biotech, pharmaceutical & healthcare industries using AI & ML technology to enable data-driven decisions and solve business problems

Data Infrastructure and Analytics ๐Ÿ‡บ๐Ÿ‡ธ Morrisville 41 n/a
48
infinitus Medical Technologiesinfinitusmedical.com

Innovative medical technology company focused on creating solutions for operating rooms and critical care environments to improve efficiency and patient safety

Medical Equipment Manufacturing ๐Ÿ‡บ๐Ÿ‡ธ Apex 7 2013

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How this list is built

Every company on this list has a Tamtam company profile. The industry is the one the company gives on LinkedIn; categories such as SaaS or fintech are classified by Tamtam's AI from the company's website and LinkedIn page; and the headquarters city must match the company's own address. Companies are ranked by the number of employees on LinkedIn, and the list is refreshed every night. Classifications can be wrong, so treat the list as a starting point rather than an official ranking. Last updated Oct 24, 2026.

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