# HARRIS TEETER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Harris Teeter \#450
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881021582
- **Authorized official:** ALLISON BREDESTEGE (PHARMACY LICENSING MANAGER)
- **Authorized official phone:** (513) 762-1019

## Contact information

- **Practice address:** 1981 RIVIERA DRIVE, MOUNT PLEASANT, SC 29464-7401
- **Practice address phone:** (704) 844-3418
- **Practice address fax:** (704) 844-6512
- **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:** 09/26/2013
- **Last updated:** 02/09/2017