Organization
HARRIS TEETER PHARMACY #208
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN GADDY PHARMD (PHARMACY MANAGER)
(704) 366-5684
Entity
Organization
Contact information
Practice address
112 S SHARON AMITY RD, CHARLOTTE, NC 28211-2802
(704) 366-5684
(704) 366-1598
Mailing address
112 S SHARON AMITY RD, CHARLOTTE, NC 28211-2802
(704) 366-5684
(704) 366-1598
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
12325
SC
3336C0003X
Community/Retail Pharmacy
Primary
15937
NC
Other
Enumeration date
05/07/2011
Last updated
05/07/2011
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