Organization Name: | HARRIS TEETER, LLC |
NPI Number: | 1275636755 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROSE WARD (MANAGER PHARMACY ACCT/AR) |
Mailing Address: | 2727 S Church St Burlington |
State: | NC US |
Postal Code: | 272155103 |
Phone Number: | 3365845168 |
Fax Number: | 7048446556 |
NPI Enumeration Date: | 09/07/2006 |
NPI Last Update Date: | 10/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 06523 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |