Organization
GREENVILLE HEALTH CORPORATION
Active
Other names
Upstate Pharmacy Cross Creek
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
111 DOCTORS DR, GREENVILLE, SC 29605-5622
(864) 797-7170
(864) 797-7175
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
10615
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2122470
PK
—
05
—
710615
—
SC
Enumeration date
10/26/2009
Last updated
04/14/2021
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