Organization
HARRIS TEETER,LLC
Active
Organization
HARRIS TEETER,LLC
Active
Other names
Harris Teeter Pharmacy #369
Organization subpart
No
Provider details
NPI number
Authorized official
MARY NOBLITT (LICENSE ADMINISTRATOR)
(704) 844-3418
Entity
Organization
Contact information
Practice address
4540 PRINCESS ANNE ROAD, VIRGINIA BEACH, VA 23462
(704) 844-3418
Mailing address
701 CRESTDALE ROAD, MATTHEWS, NC 28105
(704) 844-3418
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/24/2014
Last updated
07/31/2015
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