Organization
PIONEER APCO LLC
Active
Parent organization
UPSTREAM CARE COMPANY
Other names
UpStream Pharmacy Eden
Organization subpart
Yes
Provider details
NPI number
Legal business name
UPSTREAM CARE COMPANY
Authorized official
JOHN RICHARD WHITE JR. PHARMD (DIRECTOR OF PHARMACY)
(336) 509-5751
Entity
Organization
Contact information
Practice address
723 S VAN BUREN RD STE A, EDEN, NC 27288-5321
(336) 285-7985
(336) 617-0781
Mailing address
1100 REVOLUTION MILL DR STE 10, GREENSBORO, NC 27405-5067
(336) 285-7985
(336) 617-0781
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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