Organization · Type 2 NPI

Harris Teeter LLC

Community/Retail Pharmacy · Williamsburg, VA

NPI number 1629575006 Active

Practice location

4511 John Tyler Hwy
Williamsburg, VA 23185-2415

Call (757) 941-1684 Map

Mailing address

PO Box 842772
Boston, MA 02284-2772

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: 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 …

5 other providers at this address

Other community/retail pharmacy providers in Williamsburg

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NPI record

NPI: 1629575006
Entity type: Organization (Type 2)
Issued: Apr 11, 2018
Last updated: Apr 19, 2018
Status: Active

Other names

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Harris Teeter Pharmacy #462 · doing business as
Harris Teeter Pharmacy #462 · doing business as

Authorized official

Allison Bredestege
Licensing Manager
(513) 762-1019

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629575006

Harris Teeter LLC's National Provider Identifier is 1629575006, issued on Apr 11, 2018. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Williamsburg, VA. The record was last updated on Apr 19, 2018.