Organization
HARRIS TEETER LLC
Active
Other names
HARRIS TEETER PHARMACY #325
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON BREDESTEGE (PHARMACY LICENSING MANAGER)
(513) 762-1019
Entity
Organization
Contact information
Practice address
14101 DARNESTOWN RD, GERMANTOWN, MD 20874-3009
(240) 631-9629
(704) 844-6556
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
P04486
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011457000
—
MD
01
—
2133091
NABP
MD
Enumeration date
10/23/2006
Last updated
03/07/2023
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