Provider Information for 1770685158
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HARRIS TEETER, LLC
Other Names:Other Name:HARRIS TEETER PHARMACYOrganization Subpart: NO
NPI: 1770685158
Last Updated: 2023-03-07
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Details
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NPI | 1770685158 | ||||||||||||||||
Enumeration Date | 2006-09-05 | ||||||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||||||
Status | Active | ||||||||||||||||
Authorized Official Information | Name: ROSE WARD Title: Manager, Pharmacy Admin/AR Phone: 7048446524 | ||||||||||||||||
Mailing Address | 701 CRESTDALE RD MATTHEWS, NC 28105-1700 United States Phone: 704-844-3100 | Fax:704-844-6556 | ||||||||||||||||
Primary Practice Address | 5277 SUNSET LAKE RD HOLLY SPRINGS, NC 27540-3768 United States Phone: 919-363-4729 | Fax:704-844-6556 | ||||||||||||||||
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