Organization
HARRIS TEETER, LLC
Active
Other names
Harris Teeter Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE WARD (DIRECTOR OF PHARMACY ACCT)
(704) 844-6524
Entity
Organization
Contact information
Practice address
620 LONG POINTE ROAD, SUITE H, MT. PLEASANT, SC 29464
(843) 856-4631
(843) 856-4875
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
509655
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
796557
—
SC
Enumeration date
07/06/2007
Last updated
03/07/2023
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