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HARRIS TEETER, LLC

Community/Retail Pharmacy >> Pharmacy >> Suppliers

Registrant NPI Number: 1598093627

Organizational Registrant:
Organization Name:  HARRIS TEETER, LLC
Organization is not Subpart
Authorized Official:  ROSE W WARD  DIR PHARMACY ACCOUNTING  704--84-46524

Location and contact information for practice:
3905 FAIR RIDGE DR  FAIRFAX, VA 22033-2906 US
Tel: 703-877-0580  Fax: 703-877-0592

Contact information for business:
701 CRESTDALE RD  MATTHEWS, NC 28105-1700 US
Tel: 704-844-3100  Fax: 704-844-6556

Registration Information:
NPI: 1598093627
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336C0003XSuppliers
Pharmacy
Community/Retail Pharmacy
VA

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
NCPDP4841981VA01




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