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Contact Information

HARRIS TEETER, LLC
1245 CONCORD PKWY. N., SUITE #1
CONCORD, NC28025
 Phone: 704-795-9868
 Fax: 704-844-6556
 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 # 1346334943
LBN Legal business name HARRIS TEETER, LLC
Authorized official ROSE WARD - (MANAGER, PHARMACY ADMIN/AR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2006
Last updated 03/07/2023 - About 3 years ago
Identifiers
NC License # 06195
NC Medicaid 0135723
Other 7703110 MEDICAID DME
Other 3432729 NABP
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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