Provider First Line Business Practice Location Address:
2035 HIGHWAY 41
Provider Second Line Business Practice Location Address:
HARRIS TEETER PHARMACY
Provider Business Practice Location Address City Name:
MT PLEASANT
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29466-6200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-971-2075
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/05/2011