Organization
HARRIS TEETER LLC
Active
Other names
Harris Teeter Pharmacy #475
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE WARMAN (MANAGER RX LICENSING)
(513) 762-1090
Entity
Organization
Contact information
Practice address
867 STOCKBRIDGE DR, FORT MILL, SC 29708-7233
(704) 844-6524
(704) 844-6556
Mailing address
701 CRESTDALE RD, MATTHEWS, NC 28105-1700
(704) 844-6524
(704) 844-6556
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/20/2012
Last updated
08/02/2019
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