Organization
HARRIS TEETER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON BREDESTEGE (MANAGER PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
3333 PINEVILLE MATTHEWS RD, CHARLOTTE, NC 28226-9322
(704) 544-4815
(704) 544-4826
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
06492
NC
3336C0003X
Community/Retail Pharmacy
Primary
06492
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0608728
—
NC
01
—
3434292
NABP
—
01
—
7703251
MEDICAID DME
—
Enumeration date
08/22/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us