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Contact Information

HARRIS TEETER, LLC
42015 VILLAGE CENTER PLAZA
ALDIE, VA20105
 Phone: 703-542-8344
 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 Number 1558457002
LBN Legal business name HARRIS TEETER, LLC
Authorized official ROSE WARD - (MANAGER, PHARMACY ADMIN/AR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2006
Last updated 03/07/2023 - About 3 years ago
Identifiers
VA License # 0201004049
VA Medicaid 010217423
Other 4838922 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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