Organization
HARRIS TEETER LLC
Active
Other names
Harris Teeter Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON BREDESTEGE (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
11075 RESORT RD, ELLICOTT CITY, MD 21042-2065
(410) 313-8215
(410) 751-7452
Mailing address
PO BOX 842772, BOSTON, MA 02284
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/28/2013
Last updated
10/10/2016
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