| NPI | 1629405592 |
|---|---|
| Doing Business As | HARRIS TEETER PHARMACY #204 |
| Entity Type | Organization |
| Authorized Contact | ALLISON BREDESTEGE Pharmacy Licensing Manager 513-762-1019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-10-08 |
| Last Update Date | 2017-02-09 |