# GREENVILLE HEALTH CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Upstate Pharmacy Seneca
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174939078
- **Authorized official:** POLLY H. MILLER (VP PAYOR STRATEGIES & ALIGNMENT)
- **Authorized official phone:** (864) 522-2286

## Contact information

- **Practice address:** 131 LILA DOYLE DR, SENECA, SC 29672-9495
- **Practice address phone:** (864) 886-1911
- **Practice address fax:** (864) 886-1939
- **Mailing address:** 300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
- **Mailing address phone:** (864) 455-7000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 15249 | SC | Yes |

## Other

- **Enumeration date:** 07/11/2014
- **Last updated:** 04/14/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2146788 | PK | — |
