Organization
HARRIS TEETER, LLC
Active
Other names
HARRIS TEETER PHARMACY #362
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE WARD (DIR., PHARMACY ACCT.)
(704) 844-6524
Entity
Organization
Contact information
Practice address
3040 EVANS STREET, GREENVILLE, NC 27834-3176
(252) 756-7393
(252) 353-0664
Mailing address
701 CRESTDALE RD, MATTHEWS, NC 28105-1700
(704) 844-3100
(704) 844-6556
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
10644
NC
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0435553
—
NC
Enumeration date
10/28/2010
Last updated
09/26/2014
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