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Organization

HARRIS TEETER, LLC

Active
Other names
Harris Teeter Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
ROSE WARD (MANAGER PHARMACY ACCT/AR)
(704) 844-6524
Entity
Organization

Contact information

Practice address
88 CHATHAM DOWNS, CHAPEL HILL, NC 27517-6111
(919) 960-0576
(919) 960-0871
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
09332
NC
3336C0003X
Community/Retail Pharmacy
Primary
09332
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0685528
NC
01
3406368
NCPDP
NC
01
7704523
MEDICAID DME
Enumeration date
08/05/2006
Last updated
03/07/2023
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