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Organization
GREENVILLE HEALTH CORPORATION
Active
Organization
GREENVILLE HEALTH CORPORATION
Active
Other names
Upstate Pharmacy Center for Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
POLLY H. MILLER (VP PAYOR STRATEGIES & ALIGNMENT)
(864) 522-2286
Entity
Organization
Contact information
Practice address
877 W FARIS RD, GREENVILLE, SC 29605-4289
(864) 455-6330
(864) 455-6329
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 455-7000
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
15530
SC
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149227
PK
—
05
—
715530
—
SC
Enumeration date
12/11/2014
Last updated
04/14/2021
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