Organization
HARRIS TEETER, LLC
Active
Other names
Harris Teeter Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE WARD (DIR., PHARMACY ACCOUNTING)
(704) 844-6524
Entity
Organization
Contact information
Practice address
12525 PARK POTOMAC AVE, POTOMAC, MD 20854-6941
(301) 294-5329
(301) 294-5342
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
P05173
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135069
NCPDP
—
Enumeration date
01/08/2010
Last updated
03/07/2023
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