Organization
HARRIS TEETER
Active
Organization
HARRIS TEETER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN CRUMP PHARMD (PHARMACIST)
(704) 221-7979
Entity
Organization
Contact information
Practice address
701 CRESTDALE RD, MATTHEWS, NC 28105-1700
(704) 221-7979
Mailing address
2036 OLDE TOWNE DRIVE, MONROE, NC 28110
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
25304
NC
Other
Enumeration date
08/04/2015
Last updated
08/06/2015
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