# HARRIS TEETER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Harris Teeter Pharmacy \#015
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063327740
- **Authorized official:** LYSETTE SEILHAMER (MANAGER OF LICENSING)
- **Authorized official phone:** (513) 587-5328

## Contact information

- **Practice address:** 317 FRESH CATCH LANE, CLOVER, SC 29710
- **Practice address phone:** (803) 630-5025
- **Mailing address:** PO BOX 830242, PHILADELPHIA, PA 19183-0352
- **Mailing address phone:** (513) 762-1090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/17/2026
- **Last updated:** 08/17/2026