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Organization

HARRIS TEETER LLC

Active
Other names
Harris Teeter Pharmacy #338
Organization subpart
No

Provider details

NPI number
Authorized official
JESSIE WARMAN (MANAGER RX LICENSING)
(513) 762-1019
Entity
Organization

Contact information

Practice address
13901 HEATHCOTE BLVD, GAINESVILLE, VA 20155
(704) 844-4147
Mailing address
1014 VINE ST, CINCINNATI, OH 45202-1141

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
07/16/2015
Last updated
07/06/2018
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