# HARRIS TEETER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Harris Teeter Pharmacy \#400
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235059577
- **Authorized official:** LYSETTE SEILHAMER (MANAGER OF FACILITY LICENSING)
- **Authorized official phone:** (513) 762-1090

## Contact information

- **Practice address:** 501 OLD GREENVILLE HWY, CLEMSON, SC 29631-1788
- **Practice address phone:** (864) 643-5051
- **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:** 07/17/2026
- **Last updated:** 07/17/2026