Organization
HARRIS TEETER LLC
Active
Other names
Harris Teeter #450
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON BREDESTEGE (PHARMACY LICENSING MANAGER)
(513) 762-1019
Entity
Organization
Contact information
Practice address
1981 RIVIERA DRIVE, MOUNT PLEASANT, SC 29464-7401
(704) 844-3418
(704) 844-6512
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
09/26/2013
Last updated
02/09/2017
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