Organization
HARRIS TEETER LLC
Active
Other names
Harris Teeter Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LYSETTE SEILHAMER (MANAGER PHARMACY LICENSING)
(513) 587-5328
Entity
Organization
Contact information
Practice address
1125 WEST NC 54 HWY, DURHAM, NC 27707
(919) 403-8053
(704) 844-6556
Mailing address
701 CRESTDALE RD, MATTHEWS, NC 28105-1700
(704) 844-3100
(704) 844-6556
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
10118
NC
3336C0003X
Community/Retail Pharmacy
Primary
10118
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0326728
—
NC
01
—
3411422
NABP
—
01
—
7704957
MEDICAID DME
—
Enumeration date
07/03/2008
Last updated
01/08/2026
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