Organization
HARRIS TEETER LLC
Active
Other names
HARRIS TEETER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON BREDESTEGE (MANAGER OF PHARAMCY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
15080 IDLEWILD RD STE P, MATTHEWS, NC 28104-3601
(704) 882-2297
(704) 882-2311
Mailing address
PO BOX 842772, BOSTON, MA 02284
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
10/07/2016
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