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Organization

HARRIS TEETER, LLC

Active
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Organization

HARRIS TEETER, LLC

Active
Other names
Harris Teeter Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
ALLISON BREDESTEGE (PHARMACY LICENSING MANAGER)
(513) 762-1019
Entity
Organization

Contact information

Practice address
4250 CAMPBELL AVE., ARLINGTON, VA 22206
(704) 379-2003
(703) 379-2297
Mailing address
701 CRESTDALE RD, MATTHEWS, NC 28105-1700
(704) 844-3100
(704) 844-6556

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
201004192
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1144412487
VA
01
4840357
NABP
Enumeration date
08/10/2007
Last updated
03/07/2023
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