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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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