Organization
HARRIS TEETER LLC
Active
Other names
Harris Teeter Pharmacy #305
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE WARMAN (MANAGER RX LICENSING)
(513) 762-1090
Entity
Organization
Contact information
Practice address
2717 SOUTH BLVD, CHARLOTTE, NC 28209-1109
(704) 993-8632
(704) 527-1547
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
02/24/2017
Last updated
06/10/2020
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