Organization
HARRIS TEETER, LLC
Active
Other names
Harris Teeter Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE WARD (MANAGER, PHARMACY ADMIN/AR)
(704) 844-6524
Entity
Organization
Contact information
Practice address
6805 PARKER FARM RD., WILMINGTON, NC 28405
(910) 256-4159
(704) 844-6556
Mailing address
701 CRESTDALE RD., MATTHEWS, NC 28105
(704) 844-3100
(704) 844-6556
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
09058
NC
3336C0003X
Community/Retail Pharmacy
Primary
09058
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0656240
—
NC
01
—
3404150
NABP
—
01
—
7704393
MEDICAID DME
—
Enumeration date
10/02/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us