Organization
HARRIS TEETER, LLC
Active
Other names
Harris Teeter Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
3249 TYRE NECK RD, PORTSMOUTH, VA 23703-3328
(843) 785-2333
(843) 785-2507
Mailing address
PO BOX 842772, BOSTON, MA 02284
(513) 762-1019
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4843682
NCPDP
—
Enumeration date
03/01/2012
Last updated
08/26/2016
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