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) 844-6525
Entity
Organization
Contact information
Practice address
3565 DR MARTIN LUTHER KING JR BLVD, NEW BERN, NC 28562-2209
(252) 637-9537
(704) 844-6556
Mailing address
1014 VINE ST, CINCINNATI, OH 45202-1141
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
06181
NC
3336C0003X
Community/Retail Pharmacy
Primary
06181
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0255620
—
NC
01
—
3432692
NABP
—
01
—
7703105
MEDICIAD DME
—
Enumeration date
10/02/2006
Last updated
03/07/2023
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