Organization
HARRIS TEETER, LLC
Active
Other names
Harris Teeter Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON BREDESTEGE (PHARMACY LICENSING MANAGER)
(513) 762-1019
Entity
Organization
Contact information
Practice address
3401 RALEIGH ROAD PKWY W, WILSON, NC 27896
(252) 237-3186
(704) 844-6556
Mailing address
701 CRESTDALE RD, MATTHEWS, NC 28105-1700
(704) 844-3100
(704) 844-6556
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10060
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0985522
—
NC
01
—
3410761
NABP
—
Enumeration date
03/12/2008
Last updated
03/07/2023
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