Organization
HARRIS TEETER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY NOBLITT (LICENSE ADMINISTRATOR)
(704) 844-3418
Entity
Organization
Contact information
Practice address
2051 W MILLBROOK ROAD, RALEIGH, NC 27612
(704) 844-3418
Mailing address
701 CRESTDALE ROAD, MATTHEWS, NC 28105
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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