Organization
HARRIS TEETER, LLC
Active
Other names
Harris Teeter #264
Organization subpart
No
Provider details
NPI number
Authorized official
LYSETTE SEILHAMER (MANAGER OF LICENSING)
(513) 762-1090
Entity
Organization
Contact information
Practice address
3860 CAROLINA BEACH RD., WILMINGTON, NC 28412
(910) 444-0241
(910) 444-0271
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
06/24/2022
Last updated
06/24/2022
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