Provider First Line Business Practice Location Address:
8157 KENSINGTON DR.
Provider Second Line Business Practice Location Address:
HARRIS TEETER (PHARMACY FLOATER FOR NORTH CAROLINA AND
Provider Business Practice Location Address City Name:
WAXHAW
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28173
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-243-1238
Provider Business Practice Location Address Fax Number:
704-243-7853
Provider Enumeration Date:
01/18/2011