Organization
HARRIS TEETER, LLC
Active
Other names
Harris Teeter Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE W. WARD (MANAGER, OHARMACY ACCOUNTING/AR)
(704) 844-6524
Entity
Organization
Contact information
Practice address
7386 HARBOUR TOWNE PKWY, SUFFOLK, VA 23435
(757) 483-4129
(704) 844-6556
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
020104287
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740422922
—
VA
01
—
4841575
NCPDP
—
Enumeration date
04/02/2009
Last updated
03/07/2023
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