Organization
HARRIS TEETER LLC
Active
Other names
Harris Teeter Pharmacy #472
Organization subpart
No
Provider details
NPI number
Authorized official
LYSETTE SEILHAMER (MANAGER OF PHARMACY LICENSING)
(513) 587-5328
Entity
Organization
Contact information
Practice address
8445 DAVIS LAKE PKWY, CHARLOTTE, NC 28269-3414
(704) 844-3100
(704) 844-6556
Mailing address
701 CRESTDALE RD, MATTHEWS, NC 28105-1700
(704) 844-6524
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
11279
NC
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/20/2012
Last updated
01/08/2026
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