Organization
GREENVILLE HEALTH CORPORATION
Active
Other names
Upstate Medical Pharmacy
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
701 GROVE RD, EMPLOYEE PAVILION, GREENVILLE, SC 29605-5611
(864) 455-8910
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
10-02663
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4217801
NABP #
SC
05
—
726635
—
SC
05
—
DE1459
—
SC
Enumeration date
05/10/2006
Last updated
03/07/2023
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