Organization
HARRIS TEETER LLC
Active
Other names
HARRIS TEETER PHARMACY #09700406
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA SMITH (LICENSING)
(513) 246-3091
Entity
Organization
Contact information
Practice address
3865 WEST ASHLEY CIRCLE, CHARLESTON, SC 29414
(999) 999-9999
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
12/13/2019
Last updated
12/13/2019
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