# HARRIS TEETER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Harris Teeter \#453
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447687140
- **Authorized official:** MARY NOBLITT (LICENSE ADMINISTRATOR)
- **Authorized official phone:** (704) 844-3418

## Contact information

- **Practice address:** 1985 FOLLY RD UNIT A, CHARLESTON, SC 29412-9571
- **Practice address phone:** (704) 844-3418
- **Practice address fax:** (704) 844-6512
- **Mailing address:** 701 CRESTDALE ROAD, MATTHEWS, NC 28105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/26/2013
- **Last updated:** 07/09/2014