Organization
HARRIS TEETER LLC
Active
Other names
Harris Teeter Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE WARMAN (MANAGER RX LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
2835 REYNOLDA RD, WINSTON SALEM, NC 27106
(704) 844-4147
Mailing address
1014 VINE ST, CINCINNATI, OH 45202-1141
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/09/2015
Last updated
07/06/2018
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