Organization
HARRIS TEETER LLC
Active
Other names
Harris Teeter Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON BREDESTEGE (PHARMACY LICENSING MANAGER)
(513) 762-1019
Entity
Organization
Contact information
Practice address
1151 TRYON VILLAGE DR., CARY, NC 27518
(919) 233-4831
(704) 844-6556
Mailing address
PO BOX 2918, HUTCHINSON, KS 67504-2918
(620) 694-5550
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
10005
NC
3336C0003X
Community/Retail Pharmacy
Primary
10005
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0920215
—
NC
01
—
3410177
NABP
—
01
—
7704890
DME
—
Enumeration date
01/24/2008
Last updated
03/07/2023
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