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Organization
HARRIS TEETER LLC
Active
Organization
HARRIS TEETER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY NOBLITT (LICENSE ADMINISTRATOR)
(704) 844-3418
Entity
Organization
Contact information
Practice address
500 MERCANTILE PLACE, FORT MILL, SC 29715
(803) 547-0585
Mailing address
701 CRESTDALE RD, MATTHEWS, NC 28105-1700
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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