# HARRIS TEETER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HARRIS TEETER 09700357
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750901674
- **Authorized official:** JESSICA WARMAN (MANAGER OF PHARMACY LICENSING)
- **Authorized official phone:** (513) 762-1090

## Contact information

- **Practice address:** 100 WADE HAMPTON BLVD, GREENVILLE, SC 29609-5735
- **Practice address phone:** (000) 000-0000
- **Mailing address:** PO BOX 842772, BOSTON, MA 02284-2772

## Taxonomy

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

## Other

- **Enumeration date:** 04/21/2020
- **Last updated:** 08/12/2020