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
3905 FAIR RIDGE DR, FAIRFAX, VA 22033-2906
(703) 877-0580
(703) 877-0592
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
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4841981
NCPDP
VA
Enumeration date
12/01/2009
Last updated
10/09/2014
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