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
3330 W FRIENDLY AVE, GREENSBORO, NC 27410-4806
(336) 297-1467
(704) 844-6556
Mailing address
701 CRESTDALE RD, MATTHEWS, NC 28105-1700
(704) 844-3100
(704) 844-6556
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
09404
NC
3336C0003X
Community/Retail Pharmacy
Primary
09404
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0418381
—
NC
01
—
3407245
NABP
—
Enumeration date
11/08/2006
Last updated
03/07/2023
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