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Organization
GREENVILLE HEALTH CORPORATION
Active
Organization
GREENVILLE HEALTH CORPORATION
Active
Other names
Upstate Pharmacy Cross Creek
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
111 DOCTORS DR, GREENVILLE, SC 29605-5622
(864) 797-7170
(864) 797-7175
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
10615
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2122470
PK
—
05
—
710615
—
SC
Enumeration date
10/26/2009
Last updated
04/14/2021
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