HARRIS TEETER, LLC
NPI: 1659484319
· CHARLOTTE, NC 28226
· Durable Medical Equipment & Medical Supplies
· NPI assigned 08/16/2006
$200.00
Total Medicaid Paid
Provider Details
| Authorized Official | WARD, ROSE (MANAGER, PHARMACY ADMIN/AR) |
| NPI Enumeration Date | 08/16/2006 |
Related Entities
Other providers sharing the same authorized official: WARD, ROSE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
42 |
$200.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
42 |
26 |
$200.00 |