Organization
GREENVILLE HEALTH CORPORATION
Active
Other names
Upstate Pharmacy Seneca
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
131 LILA DOYLE DR, SENECA, SC 29672-9495
(864) 886-1911
(864) 886-1939
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 455-7000
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
15249
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146788
PK
—
Enumeration date
07/11/2014
Last updated
04/14/2021
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