Organization
HARRIS TEETER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY NOBLITT (LICENSE ADMINISTRATOR)
(704) 844-3418
Entity
Organization
Contact information
Practice address
323 COPLEY PLACE, GAITHERSBURG, MD 20878
(301) 963-6369
Mailing address
701 CRESTDALE RD, MATTHEWS, NC 28105-1700
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/13/2013
Last updated
02/07/2024
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