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Contact Information

HARRIS TEETER, LLC
11845 OLD GEORGETOWN RD.
BETHESDA, MD20852
 Phone: 301-468-3238
 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 1578719142
LBN Legal business name HARRIS TEETER, LLC
Authorized official ROSE WARD - (MANAGER-PHARMACY ADMIN/AR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/14/2008
Last updated 03/07/2023 - About 3 years ago
Identifiers
MD License # P04799
MD Medicaid 018916200
Other 2134118 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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