# HARRIS TEETER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HARRIS TEETER PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114235512
- **Authorized official:** ROSE WARD (DIR., PHARMACY ACCOUNTING)
- **Authorized official phone:** (704) 844-6524

## Contact information

- **Practice address:** 1201 FIRST STREET NE, WASHINGTON, DC 20002-4274
- **Practice address phone:** (202) 589-0127
- **Practice address fax:** (202) 589-0758
- **Mailing address:** 701 CRESTDALE RD, MATTHEWS, NC 28105-1700
- **Mailing address phone:** (704) 844-3100
- **Mailing address fax:** (704) 844-6556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/20/2010
- **Last updated:** 10/10/2014