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Organization
TARGET
Active
Organization
TARGET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNA HARRIS (PHARMACIST)
(803) 318-6227
Entity
Organization
Contact information
Practice address
900 METROPOLITAN AVE, CHARLOTTE, NC 28204-3177
(704) 973-3122
Mailing address
175 CARRIAGE CLUB DR, MOORESVILLE, NC 28117-9003
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24667
NC
183500000X
Pharmacist
35833
SC
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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