# HARRIS TEETER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Harris Teeter Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821191792
- **Authorized official:** ROSE WARD (MANAGER, PHARMACY ADMIN/AR)
- **Authorized official phone:** (704) 844-6524

## Contact information

- **Practice address:** 1750 HWY. \#160 W, FORT MILL, SC 29708
- **Practice address phone:** (803) 396-0450
- **Practice address fax:** (704) 844-6556
- **Mailing address:** 701 CRESTDALE RD, MATTHEWS, NC 28105-1700
- **Mailing address phone:** (704) 844-3100
- **Mailing address fax:** (704) 844-6556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 50-007624 | SC | Yes |

## Other

- **Enumeration date:** 09/06/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4225339 | NABP | — |
| 05 | — | 776242 | — | SC |