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Organization

HARRIS TEETER LLC

Active
Other names
Harris Teeter #429
Organization subpart
No

Provider details

NPI number
Authorized official
LYSETTE SEILHAMER (MANAGER OF LICENSING)
(515) 762-1090
Entity
Organization

Contact information

Practice address
163 SEA ISLAND PKWY, BEAUFORT, SC 29907-1504
(854) 846-8330
(843) 593-9219
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1090

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
03/14/2024
Last updated
03/14/2024
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