Organization
HARRIS TEETER, LLC
Active
Other names
Harris Teeter #409
Organization subpart
No
Provider details
NPI number
Authorized official
MARY NOBLITT (LICENSE ADMINISTRATOR)
(704) 844-3418
Entity
Organization
Contact information
Practice address
22700 SWEET SHRUB DRIVE, CLARKSBURG, MD 20871
(301) 916-7290
(301) 916-7288
Mailing address
22700 SWEET SHRUB DR, CLARKSBURG, MD 20871-3328
(301) 916-7290
(301) 916-7288
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/26/2013
Last updated
07/15/2014
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