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Contact Information

HARRIS TEETER, LLC
5706 WYALONG DR
CHARLOTTE, NC28227
 Phone: 704-545-4106
 Fax: 704-545-9526
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for HARRIS TEETER, LLC

NPI # 1114936622
LBN Legal business name HARRIS TEETER, LLC
Authorized official ROSE WARD - (MANAGER PHARMACY ACCT/AR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/05/2006
Last updated 03/07/2023 - About 3 years ago
Identifiers
NC License # 09278
NC Medicaid 0601006
NC Other 7704522 MEDICAID DME
NC Other 34-06166 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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