Organization
HARRIS TEETER, LLC
Active
Other names
Harris Teeter Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE W WARD (DIR, PHARMACY ACCOUNTING)
(704) 844-6524
Entity
Organization
Contact information
Practice address
1470 QUARTERPATH RD, WILLIAMSBURG, VA 23185-6500
(757) 253-0182
(757) 253-5834
Mailing address
701 CRESTDALE RD, MATTHEWS, NC 28105-1700
(704) 844-3100
(704) 844-6556
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0201004313
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336473024
—
VA
01
—
4841880
NCPDP
—
Enumeration date
09/28/2009
Last updated
03/07/2023
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