Organization
HARRIS TEETER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYSETTE SEILHAMER (MANAGER PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
44900 SAINT ANDREWS CHURCH RD, CALIFORNIA, MD 20619-2106
(704) 844-4147
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/02/2017
Last updated
02/28/2024
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