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Contact Information

HARRIS TEETER, LLC
31221 AMERICANA PKWY
SELBYVILLE, DE19975
 Phone: 302-436-4858
 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 1932394368
LBN Legal business name HARRIS TEETER, LLC
Authorized official ROSE WARD - (MANAGER PHARMACY ACCT/AR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/10/2007
Last updated 03/07/2023 - About 3 years ago
Identifiers
DE License # A30000869
DE Medicaid 1932394368
MD Medicaid 022363800
Other 0844844 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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