Organization
HARRIS TEETER LLC
Active
Other names
HARRIS TEETER 09700357
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA WARMAN (MANAGER OF PHARMACY LICENSING)
(513) 762-1090
Entity
Organization
Contact information
Practice address
100 WADE HAMPTON BLVD, GREENVILLE, SC 29609-5735
(000) 000-0000
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/21/2020
Last updated
08/12/2020
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