Organization
HARRIS TEETER, LLC
Active
Other names
HARRIS TEETER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE WARD (DIR., PHARM ACCT)
(704) 844-6524
Entity
Organization
Contact information
Practice address
10060 MARKET CIR, MANASSAS, VA 20110-0000
(703) 369-2385
(703) 330-3197
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201004357
BOARD OF PHARMACY
VA
05
—
1689981482
—
VA
Enumeration date
09/01/2010
Last updated
03/07/2023
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