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Contact Information

HARRIS TEETER, LLC
12745 GALVESTON COURT
WOODBRIDGE, VA22192
 Phone: 703-580-0298
 Fax: 704-844-6556
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HARRIS TEETER, LLC

NPI # 1497952238
LBN Legal business name HARRIS TEETER, LLC
Authorized official ROSE WARD - (MANAGER, PHARMACY ADMIN/AR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/27/2007
Last updated 03/07/2023 - About 3 years ago
Identifiers
VA License # 0201004164
VA Medicaid 1497952238
Other 4840206 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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