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Organization
HARRIS TEETER LLC
Active
Organization
HARRIS TEETER LLC
Active
Other names
HARRIS TEETER 09700357
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA WARMAN (MANAGER OF PHARMACY LICENSING)
(513) 762-1090
Entity
Organization
Contact information
Practice address
100 WADE HAMPTON BLVD, GREENVILLE, SC 29609-5735
(000) 000-0000
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
04/21/2020
Last updated
08/12/2020
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