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Contact Information

HARRIS TEETER, LLC
4701 SMITH FARM RD
CHARLOTTE, NC28216
 Phone: 704-949-2211
 Fax: 980-256-3442
 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 # 1366546699
LBN Legal business name HARRIS TEETER, LLC
Authorized official JESSIE WARMAN - (MANAGER PHARMACY LICENSING)
Entity Organization
Organization subpart 1 No
Enumeration date 09/08/2006
Last updated 03/07/2023 - About 3 years ago
Identifiers
NC License # 07267
NC Medicaid 0609159
Other 7703250 MEDICAID DME
Other 3436347 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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