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HARRIS TEETER LLC NPI 1932394368


NPI Information

NPI: 1932394368
Provider Name: HARRIS TEETER, LLC

Other Name: HARRIS TEEER PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 08D2101165

Address:
31221 AMERICANA PKWY
SELBYVILLE, DE
ZIP 19975
Phone: (302) 436-4858
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HARRIS TEETER, LLC is a community/retail pharmacy pharmacy in Selbyville, DE. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. HARRIS TEETER, LLC NPI is 1932394368. The provider is registered as an organization entity type.
The provider Other Name Is Harris Teeer Pharmacy.

The provider's business location address is:

31221 AMERICANA PKWY
SELBYVILLE, DE
ZIP 19975
Phone: (302) 436-4858
Fax: (704) 844-6556

The provider's authorized official is Rose Ward .
The authorized official title is Manager Pharmacy Acct/ar and has the following contact phone number (704) 844-6524.

The CLIA number assigned to this NPI record is 08D2101165 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/10/2007 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyA30000869DELAWAREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11932394368MEDICAIDDELAWARE
2022363800MEDICAIDMARYLAND
30844844OTHERNABP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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