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Individual

GREG C UPHAM JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
8700 W TRAIL LAKE DR STE 205, MEMPHIS, TN 38125-8205
(423) 276-4642
Mailing address
8700 W TRAIL LAKE DR STE 205, MEMPHIS, TN 38125-8205
(901) 309-1404

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202210507
VA
183500000X
Pharmacist
Primary
33570
TN
183500000X
Pharmacist
PS0044823
FL

Other

Enumeration date
07/17/2009
Last updated
12/19/2022
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