Organization
HARRIS TEETER LLC
Active
Other names
Harris Teeter Pharmacy #401
Organization subpart
No
Provider details
NPI number
Authorized official
LAMAR HARDMAN (DIRECTOR OF PHARMACY)
(704) 844-4147
Entity
Organization
Contact information
Practice address
1704 CENTRAL AVE, CHARLOTTE, NC 28205-5108
(704) 716-9458
(704) 716-9456
Mailing address
701 CRESTDALE RD, MATTHEWS, NC 28105-1700
(704) 844-3100
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/18/2013
Last updated
08/11/2014
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