HARRIS TEETER, LLC
NPI: 1871612705
· GREENSBORO, NC 27410
· Durable Medical Equipment & Medical Supplies
· NPI assigned 03/29/2007
$780.00
Total Medicaid Paid
Provider Details
| Authorized Official | WARD, ROSE (MANAGER, PHARMACY ADMIN/AR) |
| NPI Enumeration Date | 03/29/2007 |
Related Entities
Other providers sharing the same authorized official: WARD, ROSE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
13 |
$780.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0002A |
|
13 |
13 |
$780.00 |