# HARRIS TEETER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972991164
- **Authorized official:** MARY NOBLITT (LICENSE ADMINISTRATOR)
- **Authorized official phone:** (704) 844-3418

## Contact information

- **Practice address:** 500 MERCANTILE PLACE, FORT MILL, SC 29715
- **Practice address phone:** (803) 547-0585
- **Mailing address:** 701 CRESTDALE RD, MATTHEWS, NC 28105-1700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/23/2014
- **Last updated:** 12/23/2014