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Organization

GREENVILLE HEALTH CORPORATION

Active
Other names
Upstate Pharmacy - Eastside
Organization subpart
No

Provider details

NPI number
Authorized official
POLLY H. MILLER (VP PAYOR STATEGIES & ALIGNMENT)
(864) 522-2286
Entity
Organization

Contact information

Practice address
200 PATEWOOD DR, SUITE B-150, GREENVILLE, SC 29615-3593
(864) 454-2369
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 455-7000

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
018
BCBS SUFFIX
SC
01
4222434
NABP NUMBER
SC
05
747056
SC
05
DE1462
SC
Enumeration date
12/14/2005
Last updated
03/07/2023
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