| NPI | 1629575006 |
|---|---|
| Doing Business As | HARRIS TEETER PHARMACY #462 |
| Entity Type | Organization |
| Authorized Contact | ALLISON BREDESTEGE 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 | 2018-04-11 |
| Last Update Date | 2018-04-19 |