Organization
HARRIS TEETER, LLC
Active
Other names
Harris Teeter Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE W WARD (DIRECTOR PHARMACY ADMIN)
(704) 844-6524
Entity
Organization
Contact information
Practice address
25401 EASTERN MARKETPLACE PLZ, CHANTILLY, VA 20152-5780
(703) 722-2126
(703) 327-0382
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
201004307
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700017647
—
VA
01
—
4841804
NCPDP
—
Enumeration date
07/27/2009
Last updated
03/07/2023
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