Harris Teeter LLC

Community/Retail Pharmacy · Fernandina Beach, FL

Organization Active NPI

NPI number 1619497583

Practice location

4800 First Coast Hwy
Fernandina Beach, FL 32034-5597
Phone
(704) 844-4147

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NPI record

NPI
1619497583
Entity type
Organization (Type 2)
Enumeration date
June 22, 2017
Last updated
January 9, 2018
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Community/Retail Pharmacy Primary 3336C0003X — —
Durable Medical Equipment & Medical Supplies 332B00000X — —

Mailing address

PO Box 842772
Boston, MA 02284-2772

Authorized official

Name
Allison Bredestege
Title
Pharmacy Licensing Manager
Phone
(513) 762-1019

Other names

  • Harris Teeter #34
  • Harris Teeter #34

About Harris Teeter LLC

Harris Teeter LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Community/Retail Pharmacy (code 3336C0003X). The practice location is 4800 First Coast Hwy, Fernandina Beach, FL 32034-5597. The NPI number 1619497583 was assigned on June 22, 2017 and the record was last updated on January 9, 2018.

The authorized official for this organization is Allison Bredestege, Pharmacy Licensing Manager.

Frequently asked questions

What is the NPI number of Harris Teeter LLC?

The NPI number is 1619497583.

What is the phone number of Harris Teeter LLC?

The phone number listed for the practice location is (704) 844-4147.

Where is Harris Teeter LLC located?

4800 First Coast Hwy, Fernandina Beach, FL 32034-5597.

What is the taxonomy code for Harris Teeter LLC?

The primary taxonomy code is 3336C0003X – Community/Retail Pharmacy; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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