NPI | 1104235803 |
---|---|
Doing Business As | HARRIS TEETER PHARMACY #430 |
Entity Type | Organization |
Authorized Contact | MARY K NOBLITT License Administrator 704-844-3418 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2014-08-06 |
Last Update Date | 2014-08-06 |