Harris Teeter Pharmacy

LBN: Harris Teeter, Llc
Harris Teeter Pharmacy is an health care organization with primary practice located at 5706 Wyalong Dr , Charlotte NC 28227. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Harris Teeter, Llc can be contacted via phone (704) 545-4106, or through Ward, Rose via phone (704) 844-6524.

Contact Information

Primary practice address
5706 Wyalong Dr Charlotte NC 28227
Phone: (704) 545-4106
Fax: (704) 545-9526
Website:
Map and Directions
Authorized official contact:
Name: Ward, Rose
Phone: (704) 844-6524

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 09278 North Carolina
Suppliers / Community/Retail Pharmacy 3336C0003X 09278 North Carolina

Profile Details

NPI number 1114936622
LBN Legal business name Harris Teeter, Llc
DBA Doing business as Harris Teeter Pharmacy
Authorized official Ward, Rose
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114936622 NPPES
North Carolina Other 7704522 MEDICAID DME
North Carolina Other 34-06166 MEDICAID DME
North Carolina MEDICAID 0601006 MEDICAID DME

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