Organization
HARRIS TEETER, INC.
Active
Other names
Harris Teeter #453
Organization subpart
No
Provider details
NPI number
Authorized official
MARY NOBLITT (LICENSE ADMINISTRATOR)
(704) 844-3418
Entity
Organization
Contact information
Practice address
1985 FOLLY RD UNIT A, CHARLESTON, SC 29412-9571
(704) 844-3418
(704) 844-6512
Mailing address
701 CRESTDALE ROAD, MATTHEWS, NC 28105
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
07/09/2014
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